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PORTERCARE ADVENTIST HEALTH SYSTEM

Physicians Internal Medicine

Provider NPI: 1851735260

Organization Information:
Organization Name:  PORTERCARE ADVENTIST HEALTH SYSTEM
Organization is not Subpart
Authorized Official:  ANGELA  SKINNER  ADMINISTRATOR OMA  303-673-7175

Practice Location:
9399 CROWN CREST BLVD STE 200  PARKER, CO 80138-8508 US
Tel: 303-269-4410  Fax: 303-269-4411

Business Mailing Address:
PO BOX 911244  DENVER, CO 80291-1244 US
Tel: (30-3) -643-1099  Fax: 303-643-1176

NPI Information:
NPI: 1851735260
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XPhysicians
Internal Medicine
N207RG0300XPhysicians
Internal Medicine
N208000000XPhysicians
Pediatrics
N2084P0800XPhysicians
Psychiatry & Neurology
Y207Q00000XPhysicians
Family Medicine

Other Provider Identifiers:

IssuerNumberStateType
09072381CO05
24584355CO05
50803786CO05
66005078CO05
10880054CO05
31022502CO05
84973871CO05
00907812CO05
48830071CO05
92681239CO05
14509067CO05
57038856CO05
59932333CO05
65924266CO05
80485383CO05



American Medical Association 2012 taxonomy code information

Code: 207Q00000X

Type:

Classification:



Definition:



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