Individual
DR. RYAN GARY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 MEDICAL DR STE 340, BOUNTIFUL, UT 84010-5171
(801) 299-2229
(801) 299-4174
Mailing address
PO BOX 409836, ATLANTA, GA 30384-9836
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8191663-1205
UT
207V00000X
Obstetrics & Gynecology Physician
R70627
AZ
Other
Enumeration date
09/03/2008
Last updated
02/01/2022
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