RYAN G PORTER

URBANA, IL
NPI1912160441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Y00000X Otolaryngology
(Licence: IL  125-049495)
Enumeration Date2008-07-03
Last Update Date2015-09-01
Business Address
DR. RYAN G PORTER MD
611 W. PARK ST. SC2
URBANA, IL 61801-2500
Phone number: 217-383-3130
Mailing Address
DR. RYAN G PORTER MD
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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