JOHN CHARLES PORTER

GLENDALE, AZ
NPI1700940541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: AZ  15286)
Additional Taxonomies208VP0000X Pain Medicine, Pain Medicine
(Licence: AZ  15286)
Enumeration Date2006-12-19
Last Update Date2014-04-11
Business Address
Dr. JOHN CHARLES PORTER MD
6527 W BLOOMFIELD RD
GLENDALE, AZ 85304-1652
Phone number: 623-764-2894
Mailing Address
Dr. JOHN CHARLES PORTER MD
PO BOX 5415
GLENDALE, AZ 85312-5415
Phone number: 602-467-8605