Organization
WILLIAM C PORTER MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM CALVIN PORTER MD (PRESIDENT)
(701) 235-0161
Entity
Organization
Contact information
Practice address
100 4TH ST S, STE 608, FARGO, ND 58103-1929
(701) 235-0161
(701) 235-0332
Mailing address
100 4TH ST S, STE 608, FARGO, ND 58103-1929
(701) 235-0161
(701) 235-0332
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5644
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01167001
BCBS ND
ND
01
—
2T995PO
BCBS MN
MN
Enumeration date
07/03/2006
Last updated
10/04/2008
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