Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Medical Oncology Avista, MOAV MED ONC AVISTA
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA / ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
80 HEALTH PARK DR STE 270, LOUISVILLE, CO 80027-4644
(303) 661-1860
(303) 661-1861
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(888) 269-7001
(303) 764-6640
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
10/27/2015
Last updated
12/22/2020
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