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Individual

KEITH J PORCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
755 E MCDOWELL RD, PHOENIX, AZ 85006-2506
(602) 271-3961
(602) 271-3951
Mailing address
25500 N NORTERRA DR, PHOENIX, AZ 85085-8200
(623) 277-1128
(866) 561-6293

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21623
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172156
AZ
Enumeration date
01/23/2006
Last updated
03/30/2012
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