DR. Ryan G Porter SR., MD

NPI #1912160441 in Urbana, Illinois

Provider Information

NPI Number: 1912160441
Entity Type: Individual
Name: DR. Ryan G Porter SR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Otolaryngology
Credential: MD
Enumeration Date: Jul 3, 2008
Last Updated: Sep 1, 2015

Practice Location

Address: 611 W. PARK ST.
Address 2: SC2
City: Urbana
State: Illinois
ZIP Code: 61801-2500
Phone: (217) 383-3130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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