Individual
STEVEN L PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2940 E BANNER GATEWAY DR STE 200, GILBERT, AZ 85234-2171
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25535
AZ
207X00000X
Orthopaedic Surgery Physician
25535
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25535
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412172351
TAX ID
AZ
Enumeration date
06/30/2005
Last updated
10/18/2022
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