Individual
BRIAN DAVID PORVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2550 W UNION HILLS DR STE 107, PHOENIX, AZ 85027-5163
(602) 443-4068
(623) 434-8310
Mailing address
5151 E BROADWAY RD STE 107, MESA, AZ 85206-1346
(480) 290-7000
(602) 254-6840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4830
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4830
AZ
207RP1001X
Pulmonary Disease Physician
Primary
4830
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381651
—
AZ
Enumeration date
02/27/2007
Last updated
10/07/2025
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