Individual
BARRY PORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
(719) 336-0265
Mailing address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
40279
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37931032
—
CO
Enumeration date
06/22/2006
Last updated
03/15/2013
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