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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DUSTIN BLAKE PORTER

Active

DUSTIN BLAKE PORTER is a General Surgery healthcare provider located in BURLEY, Idaho. NPI 1205178399 is currently active in the NPPES registry. Verify at CMS.

General Surgery · BURLEY, ID

Registration Details

NPI Number
1205178399
Provider Type
Individual
Gender
Male
NPI Issued
Mar 26, 2013 (13.409701348183 yrs)
Last Updated
Mar 3, 2026
License
M-14207 (ID)

Practice Information

Address
1501 HILAND AVE STE H
BURLEY, ID, 833182688
Browse ID providers · Browse ZIP 83318
Phone
2086776082
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in BURLEY, ID

Name Credential NPI
NATHAN FROHNE M.D. 1760876676
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.