Jamie Porter

NPI #1245648963 in Moline, Illinois

Provider Information

NPI Number
1245648963
Entity Type
Individual
Name
Jamie Porter
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Jul 25, 2014
Last Updated
Sep 4, 2014

Practice Location

Address
520 VALLEY VIEW DR
City
Moline
ZIP Code
61265-6194
Phone
(309) 762-3621

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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