Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Boulder Holistic Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
805 S BROADWAY ST, SUITE 103, BOULDER, CO 80305-5971
(303) 269-2560
(303) 494-1841
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98209574
—
CO
Enumeration date
03/19/2010
Last updated
04/20/2016
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