Alia Porter, PA-C

NPI #1871116582 in Augusta, Kansas

Provider Information

NPI Number: 1871116582
Entity Type: Individual
Name: Alia Porter, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 28, 2020
Last Updated: Oct 27, 2022

Practice Location

Address: 1306 STATE ST
City: Augusta
State: Kansas
ZIP Code: 67010-1126
Phone: (316) 617-4275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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