LEVI PORTER

PHOENIX, AZ
NPI1225111834
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  2778)
Enumeration Date2006-10-24
Last Update Date2014-04-18
Business Address
-- LEVI PORTER PAC
19636 N 27TH AVE SUITE 106
PHOENIX, AZ 85027-4013
Phone number: 623-516-8252
Mailing Address
-- LEVI PORTER PAC
5281 N 99TH AVE SUITE 100
GLENDALE, AZ 85305-3105
Phone number: 623-516-8252
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