Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Change DBA to: Highlands Ranch Women's Care
Organization subpart
No
Provider details
NPI number
Authorized official
RENAE W PEMBERTON (VP)
(303) 804-8124
Entity
Organization
Contact information
Practice address
8671 S QUEBEC ST, SUITE 220, HIGHLANDS RANCH, CO 80130
(303) 346-4444
(303) 346-4411
Mailing address
DEPT 1244, DENVER, CO 80291-0001
(303) 486-5500
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/16/2009
Last updated
06/17/2011
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