Portercare Adventist Health System

NPI #1376970012 in Castle Rock, Colorado

Provider Information

NPI Number
1376970012
Entity Type
Organization
Organization Name
Portercare Adventist Health System
Primary Specialty
Otolaryngology
Enumeration Date
Sep 26, 2013
Last Updated
Apr 28, 2016

Practice Location

Address
2352 MEADOWS BLVD
Address 2
SUITE 300
ZIP Code
80109-8406
Phone
(720) 455-3800

Authorized Official

Name
ANGELA SKINNER
Title
OMA ADMINISTRATOR
Phone
(303) 673-7175

Specialties & Taxonomy Codes

Specialty
Otolaryngology

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