Individual
DONALD K PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 CONSTITUTION AVE NE, PMG SOUTHWEST PULMONARY CRITICAL CARE, ALBUQUERQUE, NM 87110-7613
(505) 291-2100
(505) 291-2133
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
87274
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38927
—
NM
Enumeration date
10/03/2006
Last updated
12/07/2009
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