Individual
DARREL ROBERT PORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 E WYTHE CREEK CT STE 103, KUNA, ID 83634-5005
(208) 922-5130
(208) 922-5132
Mailing address
708 E WYTHE CREEK CT STE 103, KUNA, ID 83634-5005
(208) 922-5130
(208) 922-5132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M11133
ID
Other
Enumeration date
08/31/2010
Last updated
08/10/2014
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