Individual
WESLEY RAY PORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044
(225) 246-9100
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
207478
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207478
STATE LICENSE
LA
Enumeration date
03/19/2010
Last updated
10/30/2019
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