Darrel Robert Porr MD

NPI 1184930976 - Family Medicine - 207Q00000X

NPI Details
NPI 1184930976
Gender Male
Enumeration Date 08/31/2010
Last Updated 08/10/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
708 E WYTHE CREEK CT STE 103
KUNA ID, 83634-5005, US
Phone (208) 922-5130
Fax (208) 922-5132
Business Location
708 E WYTHE CREEK CT STE 103
KUNA ID, 83634-5005, US
Phone (208) 922-5130
Fax (208) 922-5132
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M11133
Remove 1184930976 NPI Number
 

According to our database, Darrel Robert Porr MD NPI is 1184930976, taxonomy code is 207Q00000X and license number is M11133, license state is located at Idaho. Darrel Robert Porr MD physically located at 708 E Wythe Creek Ct Ste 103, Kuna ID, 83634-5005. NPI Number Darrel Robert Porr MD has the Individual type.

Sponsored links

1184930976 NPI number is provided on an as is basis without warranty of any kind. 1184930976 is maintained by the National Plan & Provider Enumeration System. The contents of Darrel Robert Porr MD are for informational purposes only.