Individual
YOAD YECHIEL PORAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12911 W 40TH AVE, GOLDEN, CO 80401-2696
(303) 422-9438
Mailing address
PO BOX 650823, DALLAS, TX 75265-0823
(303) 422-9438
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR.0073215
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0008765
CO
Other
Enumeration date
06/18/2020
Last updated
08/01/2024
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