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Individual

CHRISTOPHER CLAYTON PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7202

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
40732
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83378219
CO
Enumeration date
10/03/2006
Last updated
01/29/2013
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