Individual
DR. SAMANTHA POUPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
473 CASTLE PINES AVE STE 1, JOHNSTOWN, CO 80534-7859
(970) 587-7881
(970) 587-7738
Mailing address
6801 W 20TH ST UNIT 101, GREELEY, CO 80634-9640
(970) 378-8000
(970) 378-8088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0061291
CO
Other
Enumeration date
05/02/2017
Last updated
04/01/2025
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