Individual
SAVANNAH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 E 3RD ST, DURANGO, CO 81301-5728
(970) 375-0100
Mailing address
42190 HIGHWAY 160, MANCOS, CO 81328
(719) 251-1211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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