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NPI Code Detail

MEDICARE: CHARLES PORTER STOREY JR. M.D.

MEDICARE: CHARLES PORTER STOREY JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician43294CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1016394OTHERCOKAISER-COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649301433
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES PORTER STOREY JR. M.D.
Provider Business Mailing Address
First Line : 1835 FRANKLIN STREET
Second Line :
City : DENVER
State : CO
Zip : 80218-1126
Country : US
Telephone Number : 303-338-4545
Fax Number :
Provider Business Practice Location Address
First Line : 1835 FRANKLIN STREET
Second Line :
City : DENVER
State : CO
Zip : 80218-1126
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 12/21/2025

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