Organization · Type 2 NPI
Portercare Adventist Health System
Transplant Surgery Physician · Durango, CO
NPI number
1124623954
Active
Practice location
1010 Three Springs Blvd Ste 255
Durango, CO 81301-8296
Fax (303) 778-5205
Mailing address
PO Box 713425
Chicago, IL 60677-4325
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Transplant Surgery Physician Primary | 204F00000X | None listed |
Transplant Surgery Physician: A surgeon who specializes in transplant surgery.
2 other providers at this address
About NPI 1124623954
Portercare Adventist Health System's National Provider Identifier is 1124623954, issued on Dec 1, 2020. The primary taxonomy on file is Transplant Surgery Physician (204F00000X), and the practice location is in Durango, CO. The record was last updated on Aug 12, 2026.