Individual
MR. STEPHEN TROY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
135 S POWER RD STE 110, MESA, AZ 85206-5245
(480) 745-8577
Mailing address
20641 S 196TH ST, QUEEN CREEK, AZ 85142-6242
(618) 322-4507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209006282
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0827
AZ
Other
Enumeration date
11/14/2006
Last updated
06/14/2023
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