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Individual

DR. ELLIS F PORCH JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1518 N BRINDLEE MOUNTAIN PKWY, ARAB, AL 35016-5723
(256) 586-1380
(256) 586-8364
Mailing address
1518 N BRINDLEE MOUNTAIN PKWY, PO BOX 710, ARAB, AL 35016-5723
(256) 586-1380
(256) 586-8364

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12159
AL

Other

Enumeration date
01/23/2006
Last updated
07/09/2007
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