Individual
MR. ERIC L PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 LONGMONT ST, GILLETTE, WY 82716-2927
(307) 299-5155
Mailing address
700 LONGMONT ST, GILLETTE, WY 82716-2927
(307) 299-5155
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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