Organization
MVP ASSISTING, LLC
Active
Other names
Porter Performance, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. POLLY ANN PORTER PA-C (PRESIDENT)
(703) 395-3885
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
(703) 395-3885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
0110001565
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S373126-4
COMMONWEALTH OF VIRGINIA
VA
Enumeration date
02/06/2012
Last updated
06/28/2017
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