Individual
LEVI PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
19636 N 27TH AVE, SUITE 106, PHOENIX, AZ 85027-4013
(623) 516-8252
(623) 516-8253
Mailing address
5281 N 99TH AVE, SUITE 100, GLENDALE, AZ 85305-3105
(623) 516-8252
(623) 516-8253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2778
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2778
AZ LICENSE
AZ
05
—
743271
—
AZ
Enumeration date
10/24/2006
Last updated
04/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us