DANIEL PORTER

KINGMAN, AZ
NPI1134667157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: AZ  007802)
Enumeration Date2017-02-09
Last Update Date2020-05-21
Business Address
DANIEL PORTER
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-2101
Mailing Address
DANIEL PORTER
1616 E LEHI RD
MESA, AZ 85203-1211
Phone number:
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