DR. Ron Wade Porter, M.D.

NPI #1770577728 in Ammon, Idaho

Provider Information

NPI Number: 1770577728
Entity Type: Individual
Name: DR. Ron Wade Porter, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Sep 6, 2005
Last Updated: Jan 6, 2026

Practice Location

Address: 3067 EAGLE DR
City: Ammon
State: Idaho
ZIP Code: 83406-1273
Phone: (208) 522-4600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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