Amanda Logan Porter PA-C

NPI 1750561924 - Physician Assistant - 363AM0700X

NPI Details
NPI 1750561924
Gender Female
Enumeration Date 11/05/2007
Last Updated 01/02/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
726 YORKLYN ROAD
SUITE 100
HOCKESSIN DE, 19707-0000, US
Phone (302) 234-5770
Fax (302) 234-5777
Business Location
726 YORKLYN RD
SUITE 100
HOCKESSIN DE, 19707-8744, US
Phone
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Delaware
License Number C5-0000603
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According to our database, Mrs. Amanda Logan Porter PA-C NPI is 1750561924, taxonomy code is 363AM0700X and license number is C5-0000603, license state is located at Delaware. Amanda Logan Porter PA-C physically located at 726 Yorklyn Road, Hockessin DE, 19707-0000. NPI Number Amanda Logan Porter PA-C has the Individual type.

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1750561924 NPI number is provided on an as is basis without warranty of any kind. 1750561924 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Logan Porter PA-C are for informational purposes only.