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NPI Code Detail

MEDICARE: STEVEN J. PORTER MD INC.

MEDICARE: STEVEN J. PORTER MD INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center
2207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1164453494
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEVEN J. PORTER MD INC.
Provider Business Mailing Address
First Line : 386 N VILLA ST STE A
Second Line :
City : PORTERVILLE
State : CA
Zip : 93257-3252
Country : US
Telephone Number : 559-781-4711
Fax Number : 559-781-4712
Provider Business Practice Location Address
First Line : 386 N VILLA ST STE A
Second Line :
City : PORTERVILLE
State : CA
Zip : 93257-3252
Country : US
Telephone Number : 559-781-4711
Fax Number : 559-781-4712
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : STEVEN J. PORTER
Credential : MD
Telephone Number : 559-781-4711
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/23/2019

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