Portercare Adventist Health System

NPI #1962726927 in Boulder, Colorado

Provider Information

NPI Number
1962726927
Entity Type
Organization
Organization Name
Portercare Adventist Health System
Primary Specialty
Family Medicine
Enumeration Date
Mar 19, 2010
Last Updated
Apr 20, 2016

Practice Location

Address
805 S BROADWAY ST
Address 2
SUITE 103
ZIP Code
80305-5971
Phone
(303) 269-2560

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine

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