Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Organization
PORTERCARE ADVENTIST HEALTH SYSTEM
Active
Other names
CHPG SPC Metro A, ORCR ORTHO LONE TREE, CHPG Orthopedics and Sports Medicine Lone Tree
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA SKINNER (ADMINISTRATOR- OMA)
(303) 673-7175
Entity
Organization
Contact information
Practice address
9695 S YOSEMITE ST STE 255B, LONE TREE, CO 80124-2890
(720) 455-3775
(720) 455-3795
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
12/15/2020
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