Individual
DR. JOHN WESLEY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3363 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 523-0330
Mailing address
2524 LILLIAN MILLER PKWY STE 100, DENTON, TX 76210-7206
(940) 891-0484
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP100482
ID
Other
Enumeration date
07/17/2018
Last updated
10/24/2019
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