MR. Ryan Todd Porter, PA-C
NPI #1669556213 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1669556213
- Entity Type
- Individual
- Name
- MR. Ryan Todd Porter, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Oct 24, 2006
- Last Updated
- Dec 30, 2009
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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