DEVIN LANE PORTER

SHOW LOW, AZ
NPI1992144943
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  5410)
Enumeration Date2013-06-21
Last Update Date2013-06-21
Business Address
-- DEVIN LANE PORTER P.A.-C
2200 E SHOW LOW LAKE RD
SHOW LOW, AZ 85901-7831
Phone number: 928-537-4375
Mailing Address
-- DEVIN LANE PORTER P.A.-C
PO BOX 159
OVERGAARD, AZ 85933-0159
Phone number: 480-433-0371