Individual
DR. GREGORY J PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SIERRA COLLEGE DR STE B, GRASS VALLEY, CA 95945-5093
(530) 272-3428
(530) 272-3429
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(800) 883-7243
(714) 347-1082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G72310
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G72310
CA
208VP0014X
Interventional Pain Medicine Physician
G72310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G723100
—
CA
Enumeration date
04/25/2006
Last updated
06/18/2024
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