| NPI | 1568078210 |
|---|---|
| Doing Business As | PRPC PC PAH |
| Other Name | PORTER PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Administrator, Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |