Organization
OBSTETRIX MEDICAL GROUP OF COLORADO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD P PORRECO MD (PRESIDENT)
(954) 384-0175
Entity
Organization
Contact information
Practice address
80 HEALTH PARK DR STE 235, LOUISVILLE, CO 80027-9584
(303) 860-9990
Mailing address
4722 N 24TH ST STE 150, PHOENIX, AZ 85016-4860
(877) 737-4546
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
03/26/2021
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