Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RYAN TODD PORTER, PA-C
ActiveMR. RYAN TODD PORTER, PA-C is a Surgical Physician Assistant healthcare provider located in BLACKFOOT, Idaho. NPI 1669556213 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · BLACKFOOT, ID
Registration Details
- NPI Number
- 1669556213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2006 (19.799099672168 yrs)
- Last Updated
- Dec 30, 2009
- Licenses
-
447 (MT)PA-827 (ID)
Practice Information
- Address
-
98 POPLAR STBLACKFOOT, ID, 832211758Browse ID providers · Browse ZIP 83221
- Phone
- 2087854100
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| BEVERLY HANSON | PA | 1003874389 |
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.