Organization
OBSTETRIX MEDICAL GROUP OF COLORADO, PC
Active
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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