Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
South Denver Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P HESSELINK (VP-FINANCE PE)
(303) 804-8136
Entity
Organization
Contact information
Practice address
7780 SOUTH BROADWAY, SUITE 350, LITTLETON, CO 80122
(303) 734-8650
(303) 734-8653
Mailing address
P.O. BOX 911244, DENVER, CO 80291-1244
(303) 486-5401
(303) 486-5502
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
36243
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
36243
CO
2084N0400X
Neurology Physician
36243
CO
2084P0005X
Neurodevelopmental Disabilities Physician
36243
CO
2084V0102X
Vascular Neurology Physician
36243
CO
2085N0700X
Neuroradiology Physician
36243
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73434256
—
CO
Enumeration date
08/01/2006
Last updated
05/09/2012
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