Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Avista Neuroscience
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
80 HEALTH PARK DR, SUITE 50, LOUISVILLE, CO 80027-9584
(720) 321-8040
(720) 321-8041
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1040
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
09/25/2015
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