Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 17769 | CO |
NPI | 1104889120 |
---|---|
Provider Name | Dr. Richard Patrick Porreco |
First Address | Denver, CO 80205-5503 |
Second Address | Denver, CO 80205-5503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 15/10/2011 |