Organization
PORTER PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. POLLY ANN PORTER PA-C (OWNER)
(540) 668-6350
Entity
Organization
Contact information
Practice address
35731 DUNTHORPE LN, PURCELLVILLE, VA 20132-5225
(540) 668-6350
(540) 668-6350
Mailing address
35731 DUNTHORPE LN, PURCELLVILLE, VA 20132-5225
(540) 668-6350
(540) 668-6350
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/06/2013
Last updated
01/06/2013
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