JOHN C PORTER

POCATELLO, ID
NPI1437197647
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: ID  NP376A)
Enumeration Date2006-06-02
Last Update Date2016-05-11
Business Address
-- JOHN C PORTER NP-C
444 HOSPITAL WAY SUITE 801
POCATELLO, ID 83201-2745
Phone number: 800-613-4012
Mailing Address
-- JOHN C PORTER NP-C
3544 E 17TH ST STE 104
AMMON, ID 83406-6910
Phone number: 208-522-2922
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