Individual
MATTHEW PORCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT(R)
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
Mailing address
5245 ASHDOWN PLACE CV, SOUTHAVEN, MS 38672-6060
(901) 628-8263
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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