Individual
DR. JOEL A PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 ARCH ST, STE 150, AKRON, OH 44304-1479
(330) 564-0728
(330) 564-0733
Mailing address
95 ARCH ST, STE 150, AKRON, OH 44304-1479
(330) 564-0728
(330) 564-0733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35048232O
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029383
ANTHEM BC BS
OH
05
—
0681525
—
OH
Enumeration date
06/24/2005
Last updated
07/08/2007
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