GLEN ALAN PORTER

GLENDALE, AZ
NPI1376828780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP4205)
Enumeration Date2011-10-17
Last Update Date2014-09-26
Business Address
Mr. GLEN ALAN PORTER FNP-C
6611 W BELL RD (INSIDE FRYS)
GLENDALE, AZ 85308-3607
Phone number: 623-334-2953
Mailing Address
Mr. GLEN ALAN PORTER FNP-C
3420 E CAROL ANN WAY
PHOENIX, AZ 85032-3820
Phone number: 602-769-2714