Organization · Type 2 NPI

Portercare Adventist Health System

Transplant Surgery Physician · Westminster, CO

NPI number 1609485416 Active

Practice location

14300 Orchard Pkwy Fl 3
Westminster, CO 80023-9206

Call (303) 778-5797 Map

Fax (303) 778-5205

Mailing address

PO Box 801106
Kansas City, MO 64180-1106

Specialties and licenses

Taxonomy	Code	License
Transplant Surgery Physician Primary	204F00000X	None listed

Transplant Surgery Physician: A surgeon who specializes in transplant surgery.

2 other providers at this address

John Wagner Tynes, MDObstetrics & Gynecology Physician Westminster, CO NPI 1992746002
Tracy Lee Jones, MDObstetrics & Gynecology Physician Westminster, CO NPI 1417996794

NPI record

NPI: 1609485416
Entity type: Organization (Type 2)
Issued: Jul 28, 2020
Last updated: Apr 12, 2021
Status: Active

Other names

<unavail>
TPPC Transplant San · doing business as
Centura Transplant San · other name
Centura Transplant ST Anthony North · other name

Authorized official

Mrs. Angela J Skinner
Administrator, Oma
(303) 673-7175

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About NPI 1609485416

Portercare Adventist Health System's National Provider Identifier is 1609485416, issued on Jul 28, 2020. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Westminster, CO. The record was last updated on Apr 12, 2021.