Most Relevant Information
Provider Data
| NPI Number: | 1003570276 |
| Provider Name: | ZACHARY MILLSLAGLE PORTER MPH, CSCS |
| Entity Type: | Individual |
| Taxonomy Code: | 224Y00000X |
| Specialty: | Clinical Exercise Physiologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/25/2021 |
| Last Updated: | 10/25/2021 |
Provider Practice Location
3141 CENTENNIAL BLVD
COLORADO SPRINGS
CO
809074094
Practice Location Phone/Fax
| Phone: | 7192274360 |
| Fax: |
Provider Mailing Location
3141 CENTENNIAL BLVD
COLORADO SPRINGS
CO
809074094
Provider Mailing Phone/Fax
| Phone: | 7192274360 |
| Fax: |