Individual
DR. ROGER JOHN PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
461 TIMBER LN, DEVON, PA 19333-1232
(610) 989-3767
Mailing address
461 TIMBER LN, DEVON, PA 19333-1232
(610) 989-3767
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD047503L
PA
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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