Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN CHARLES PORTER, MD
Active Sole ProprietorPain Medicine (PM&R) · GLENDALE, AZ
Registration Details
- NPI Number
- 1700940541
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2006 (19.336896382128 yrs)
- Last Updated
- Apr 11, 2014
- Licenses
-
15286 (AZ)15286 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6527 W BLOOMFIELD RDGLENDALE, AZ, 853041652Browse AZ providers · Browse ZIP 85304
- Phone
- 6237642894
- Fax
- 6238788712
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Vascular Surgery
Other Pain Medicine (PM&R) Providers in GLENDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. LATA KUMARASWAMY | D.O. | 1164648226 |
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.