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Organization

PORTERCARE ADVENTIST HEALTH SYSTEM

Active
Other names
Centura Health Physician Group Church Ranch Pain Specialists
Organization subpart
No

Provider details

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

Contact information

Practice address
7233 CHURCH RANCH BLVD, WESTMINSTER, CO 80021-4094
(303) 925-4050
(303) 925-4051
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
68838859
CO
Enumeration date
08/15/2014
Last updated
04/20/2016
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