Porter Physician Services LLC

NPI #1376744664 in Portage, Indiana

Provider Information

NPI Number
1376744664
Entity Type
Organization
Organization Name
Porter Physician Services LLC
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
May 31, 2007
Last Updated
Jul 21, 2022

Practice Location

Address
3220 LANCER ST
State
Indiana
ZIP Code
46368-4495
Phone
(219) 764-8439

Authorized Official

Name
GARY D NEWSOME
Title
PRESIDENT
Phone
(615) 465-7000

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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