JASON PORTER

KINGMAN, AZ
NPI1497449847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  R4140)
Enumeration Date2023-06-07
Last Update Date2023-06-07
Business Address
Dr. JASON PORTER DO
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-681-8701
Mailing Address
Dr. JASON PORTER DO
1840 W ARROW RTE APT 98
UPLAND, CA 91786-7669
Phone number: 909-630-1980
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