Individual
DR. ANDREW C. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29265
OK
207R00000X
Internal Medicine Physician
49845
CO
207RP1001X
Pulmonary Disease Physician
Primary
0049845
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027231
KAISER COMMERCIAL NUMBER
CO
05
—
23950064
—
CO
Enumeration date
04/30/2008
Last updated
06/22/2021
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