Organization
DR LEWIS E PORTER PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS EUGENE PORTER M.D. (PHYSICIAN)
(501) 847-9687
Entity
Organization
Contact information
Practice address
23157 HIGHWAY I-30, SUITE 200, BRYANT, AR 72022
(501) 847-9687
(501) 847-9909
Mailing address
PO BOX 648, BENTON, AR 72018-0648
(501) 574-7044
(501) 574-7058
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-5015
AR
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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