ROBERT PORTER

BOISE, ID
NPI1093119042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: ID  M-3299)
Enumeration Date2014-10-20
Last Update Date2014-10-20
Business Address
-- ROBERT PORTER M.D.
1346 E CANDLERIDGE DR
BOISE, ID 83712-6504
Phone number: 208-426-0491
Mailing Address
-- ROBERT PORTER M.D.
1346 E CANDLERIDGE DR
BOISE, ID 83712-6504
Phone number: 208-426-0491
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