Individual
JASON ALAN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMD
Contact information
Practice address
5416 E SOUTHERN AVE, SUITE 110, MESA, AZ 85206-3622
(480) 985-0000
Mailing address
5416 E SOUTHERN AVE, SUITE 110, MESA, AZ 85206-3622
(480) 985-0000
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
03-766
AZ
Other
Enumeration date
01/05/2007
Last updated
04/08/2014
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