Individual
STEPHANIE LYNN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
630 E STAR CT, MONTROSE, CO 81401-6702
(970) 240-0378
(970) 240-3346
Mailing address
630 E STAR CT, MONTROSE, CO 81401-6702
(970) 240-0378
(970) 240-3346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40234
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65202571
—
CO
Enumeration date
02/14/2006
Last updated
05/21/2008
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