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Organization
JOHN C. PORTER MD PC
Active
Organization
JOHN C. PORTER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C PORTER MD (PRESIDENT)
(623) 764-8074
Entity
Organization
Contact information
Practice address
12238 N 45TH LN, GLENDALE, AZ 85304-2312
(623) 764-8074
(623) 878-8712
Mailing address
PO BOX 5415, GLENDALE, AZ 85312-5415
(623) 764-8074
(623) 878-8712
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
15286
AZ
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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