Individual
EMILY ANN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
Mailing address
7109 W 27TH ST UNIT 3208, GREELEY, CO 80634-4577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008175
CO
Other
Enumeration date
10/02/2023
Last updated
03/04/2024
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