Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
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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