Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
URRK UROLOGY CRK, CHPG Urology Castle Rock, CHPG SPC Metro A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR- OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
2352 MEADOWS BLVD STE 300U, CASTLE ROCK, CO 80109-8406
(303) 455-0670
(720) 455-0671
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
12/15/2020
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