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1730176389
RANDALL W PORTER
PHOENIX, AZ
NPI
1730176389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: AZ 28395)
Enumeration Date
2005-09-29
Last Update Date
2021-01-06
Business Address
RANDALL W PORTER MD
2910 N 3RD AVE
PHOENIX, AZ 85013-4434
Phone number: 602-406-4856
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Mailing Address
RANDALL W PORTER MD
2910 N 3RD AVE
PHOENIX, AZ 85013-4434
Phone number: 602-406-4856
Copy
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