Individual
DR. CHARLES A PORTERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3851 PIPER ST STE U230, ANCHORAGE, AK 99508-6901
(907) 868-2075
(907) 312-5882
Mailing address
3851 PIPER ST STE U230, ANCHORAGE, AK 99508-6901
(907) 868-2075
(907) 312-5882
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
6982
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151809
—
AK
Enumeration date
03/23/2006
Last updated
10/29/2019
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