Individual
STUART B PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3650 N UNIVERSITY AVE, SUITE 200, PROVO, UT 84604-6656
(801) 375-7100
(801) 375-7102
Mailing address
3650 N UNIVERSITY AVE, SUITE 200, PROVO, UT 84604-6656
(801) 375-7100
(801) 375-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
288579-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D0860
—
UT
Enumeration date
06/02/2006
Last updated
09/01/2009
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