Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
Centura Health Physician Group Orthopedics & Sports Medicine Porter
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SKINNER (OMA / ADMINISTRATOR)
(303) 673-7175
Entity
Organization
Contact information
Practice address
2535 S DOWNING ST, SUITE 180, DENVER, CO 80210-5847
(303) 925-4540
(303) 925-4541
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14480387
—
CO
Enumeration date
05/15/2015
Last updated
04/20/2016
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