Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Grace Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 643-0925
Entity
Organization
Contact information
Practice address
6909 S HOLLY CIR, SUITE 100, CENTENNIAL, CO 80112-1042
(720) 528-3559
(720) 528-9903
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1100
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2013
Last updated
12/01/2013
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