Porter Physician Services LLC

NPI #1285842963 in Chesterton, Indiana

Provider Information

NPI Number
1285842963
Entity Type
Organization
Organization Name
Porter Physician Services LLC
Primary Specialty
Orthopaedic Surgery
Enumeration Date
May 18, 2007
Last Updated
Jun 27, 2008

Practice Location

Address
650 DICKINSON RD
State
Indiana
ZIP Code
46304-3387
Phone
(219) 477-1013

Authorized Official

Name
DEBBIE T BREWER
Title
DIRECTOR OF PROVIDER ENROLLMENT
Phone
(615) 465-7626

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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