PORTER PHYSICIAN SERVICES LLC

PORTAGE, IN
NPI1457566309
Entity TypeOrganization
Authorized ContactDEBBIE T BREWER
Director Of Provider Enrollment
615-465-7626
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207Q00000X Family Medicine
Enumeration Date2007-05-14
Last Update Date2009-01-28
Business Address
PORTER PHYSICIAN SERVICES LLC
3630 WILLOWCREEK RD
PORTAGE, IN 46368-5075
Phone number: 219-759-5791
Mailing Address
PORTER PHYSICIAN SERVICES LLC
3630 WILLOWCREEK RD
PORTAGE, IN 46368-5075
Phone number: 219-759-5791