Individual
MRS. CINDE K PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
785 RUSSELL ST, CRAIG, CO 81625-2019
(970) 826-2400
Mailing address
270 BILSING ST, CRAIG, CO 81625-3552
(970) 826-9796
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
500
CO
Other
Enumeration date
08/19/2005
Last updated
01/13/2010
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