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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
ETPK ENT PKR, CHPG SPC Metro A, Colorado ENT Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA J SKINNER (ADMINISTRATOR- OMA)
(303) 673-7175
Entity
Organization

Contact information

Practice address
9403 CROWN CREST BLVD STE 300ENT, PARKER, CO 80138-8882
(720) 274-2544
(720) 274-2541
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
07/30/2020
Last updated
05/24/2021
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