RON WADE PORTER

AMMON, ID
NPI1770577728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: ID  M-7271)
Enumeration Date2005-09-06
Last Update Date2024-11-26
Business Address
Dr. RON WADE PORTER M.D.
3067 EAGLE DR
AMMON, ID 83406-1273
Phone number: 208-522-4600
Mailing Address
Dr. RON WADE PORTER M.D.
3067 EAGLE DR
AMMON, ID 83406-1273
Phone number: 208-522-4600
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