Organization · Type 2 NPI

Portercare Adventist Health System

Obstetrics & Gynecology Physician · Lone Tree, CO

NPI number 1720697667 Active

Practice location

9695 S Yosemite St Ste 255B
Lone Tree, CO 80124-2890

Fax (303) 649-3381

Mailing address

PO Box 713425
Chicago, IL 60677-4325

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XNone listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2 other providers at this address

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About NPI 1720697667

Portercare Adventist Health System's National Provider Identifier is 1720697667, issued on Jul 27, 2020. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Lone Tree, CO. The record was last updated on Aug 14, 2026.