Organization
GREGORY J PORTER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY J. PORTER M.D. (PRESIDENT)
(714) 347-1010
Entity
Organization
Contact information
Practice address
400 SIERRA COLLEGE DR STE B, GRASS VALLEY, CA 95945-5093
(530) 272-3428
(530) 272-3429
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(714) 347-1000
(714) 347-1082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G72310
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G72310
CA
Other
Enumeration date
01/04/2008
Last updated
10/11/2023
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