| Steven A Porter Md Pc | |
|
4403 Harrison Blvd Suite 2855 Ogden UT 84403-3271 | |
| (801) 387-2550 | |
| (801) 387-2555 |
| Full Name | Steven A Porter Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4403 Harrison Blvd, Ogden, Utah |
| Authorized Official Name and Position | Steven A Porter (OWNER) |
| Authorized Official Contact | 8013872550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven A Porter Md Pc 4403 Harrison Blvd Suite 2855 Ogden UT 84403-3271 Ph: (801) 387-2550 | Steven A Porter Md Pc 4403 Harrison Blvd Suite 2855 Ogden UT 84403-3271 Ph: (801) 387-2550 |
| NPI Number | 1104958974 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 10/30/2007 |
| Medicare PECOS PAC ID | 6800700675 |
|---|---|
| Medicare Enrollment ID | O20031117000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104958974 | NPI | - | NPPES |
| DA3513 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 3090962-1205 (Utah) | Primary |
| Provider Name | Steven A Porter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740255819 PECOS PAC ID: 2062326838 Enrollment ID: I20031117000396 |
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