Individual
MR. JAMES COOK PORTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4212 N 16TH ST, INDIAN HEALTH SVC FEDERAL EMERGENCY RM, PHOENIX, AZ 85016-5319
(480) 882-6359
(480) 882-4389
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1508
(602) 263-1617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1565
AZ
Other
Enumeration date
05/05/2006
Last updated
04/03/2017
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