Individual
SCOTT MCINTOSH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 SUTTER PL, SUITE 104, DAVIS, CA 95616-6213
(530) 750-5900
(530) 750-5901
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(866) 681-0736
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A115504
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2009
Last updated
06/02/2015
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