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Individual

JOE PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
872 W HIGHWAY 40, VERNAL, UT 84078-2416
(435) 789-6677
(435) 789-6677
Mailing address
872 W HIGHWAY 40, VERNAL, UT 84078-2416
(435) 789-6677
(435) 789-6678

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7585928-1206
UT

Other

Enumeration date
08/22/2012
Last updated
10/28/2020
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