Organization
JOHN C PORTER MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C PORTER MD (MEMBER)
(623) 764-2894
Entity
Organization
Contact information
Practice address
17233 N HOLMES BLVD, STE 1640, PHOENIX, AZ 85053-2018
(602) 467-8605
(602) 467-8682
Mailing address
PO BOX 5415, GLENDALE, AZ 85312-5415
(602) 467-8605
(602) 467-8682
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
09/29/2009
Last updated
01/08/2010
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