Organization
OBSTETRIX MEDICAL GROUP OF COLORADO, PC
Active
Other names
Rocky Mountain Pediatric Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P PORRECO MD (PRESIDENT)
(954) 384-0175
Entity
Organization
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 635-3711
Mailing address
4722 N 24TH ST STE 100, PHOENIX, AZ 85016-4838
(877) 737-4546
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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