LUKE PORTER BACON

AURORA, CO
NPI1831718568
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CO  DR.0070574)
Enumeration Date2020-04-13
Last Update Date2024-01-09
Business Address
Dr. LUKE PORTER BACON MD
3001 EAST 17TH PLACE
AURORA, CO 80045
Phone number: 303-724-6019
Mailing Address
Dr. LUKE PORTER BACON MD
1081 COLUMBINE ST
DENVER, CO 80206-3104
Phone number: