Individual
DR. DAVID J PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8200 E BELLEVIEW AVE, 600, GREENWOOD VILLAGE, CO 80111-2803
(303) 761-9190
(720) 874-4462
Mailing address
10700 E GEDDES AVE, NO 200, ENGLEWOOD, CO 80112-3800
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36305
KS
2085R0202X
Diagnostic Radiology Physician
25146
NE
2085R0202X
Diagnostic Radiology Physician
Primary
41827
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025709000
—
NE
05
—
104686310
—
MI
05
—
1639116221
—
CA
05
—
1639116221
—
WY
05
—
171543501
—
TX
05
—
17205573
—
CO
05
—
200425430A
—
KS
05
—
49400746
—
AZ
05
—
84-059792913
—
NE
05
—
920555
—
AZ
Enumeration date
06/01/2006
Last updated
04/07/2017
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