Glen T. Porter, Md Pc

NPI 1477794501 - Clinic/Center - 261Q00000X

NPI Details
NPI 1477794501
Enumeration Date 03/19/2009
Last Updated 03/19/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name GLEN GLEN
Position PRESIDENT
Phone (801) 756-5291
Fax
Practice Location
1159 E 200 N
STE 325
AMERICAN FORK UT, 84003-2022, US
Phone (801) 756-5291
Fax
Business Location
1159 E 200 N
STE 325
AMERICAN FORK UT, 84003-2022, US
Phone
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Utah
License Number 7133786-1205
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According to our database, Glen T. Porter, Md Pc NPI is 1477794501, taxonomy code is 261Q00000X and license number is 7133786-1205, license state is located at Utah. Glen T. Porter, Md Pc physically located at 1159 E 200 N, American Fork UT, 84003-2022. NPI Number 1033115704 has the healthcare provider type.

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1477794501 NPI number is provided on an as is basis without warranty of any kind. 1477794501 is maintained by the National Plan & Provider Enumeration System. The contents of Glen T. Porter, Md Pc are for informational purposes only.