Glen T. Porter, MD PC
NPI #1477794501 in American Fork, Utah
Provider Information
- NPI Number
- 1477794501
- Entity Type
- Organization
- Organization Name
- Glen T. Porter, MD PC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 19, 2009
- Last Updated
- Mar 19, 2009
Practice Location
- Address
- 1159 E 200 N
- Address 2
- STE 325
- City
- American Fork
- State
- Utah
- ZIP Code
- 84003-2022
- Phone
- (801) 756-5291
Authorized Official
- Name
- GLEN PORTER, M.D.
- Title
- PRESIDENT
- Phone
- (702) 806-6826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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