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Organization

MD ECF SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS PORTER LAW MD (OWNER)
(801) 664-2184
Entity
Organization

Contact information

Practice address
2942 S 2000 W, SYRACUSE, UT 84075-8937
(801) 664-2184
Mailing address
2942 S 2000 W, SYRACUSE, UT 84075-8937
(801) 664-2184

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7932637-1205
UT
208M00000X
Hospitalist Physician
7932637-1205
UT

Other

Enumeration date
02/15/2013
Last updated
02/15/2013
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