Individual
MR. JEFFREY D PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
919 N DYSART RD, AVONDALE, AZ 85323-1711
(623) 882-2121
(623) 882-2123
Mailing address
919 N DYSART RD, AVONDALE, AZ 85323-1711
(623) 882-2121
(623) 882-2123
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7252
AZ
Other
Enumeration date
08/12/2006
Last updated
08/13/2013
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