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Dr. Russell Trexler Porter, MD
Family Medicine Physician in Modesto, California
NPI 1174545362

Russell Trexler Porter is a Family Medicine Physician based in Modesto, CA. Russell Trexler Porter practices in Modesto, CA and has the professional credentials of MD. The NPI Number for Russell Trexler Porter is 1174545362 and holds a License No. A75424 (California).

The current practice location address for Russell Trexler Porter is 1448 Florida Ave, Modesto, CA and can be reached out via phone at 209-523-1884 and via fax at 209-522-6002.

Location: 1448 Florida Ave, Modesto, CA, 95350-4424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174545362
Provider Name
Russell Trexler Porter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1448 Florida Ave, Modesto, CA, 95350-4424
Phone Number
209-523-1884
Fax Number
209-522-6002
Provider Enumeration Date
07/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A754240 05 CA
institution
Provider Business Practice Location Address Details
Address
1448 Florida Ave
City
Modesto
State
California
Zip
95350-4424
Phone Number
209-523-1884
Fax Number
209-522-6002
person
Provider Business Mailing Address Details
Address
1448 Florida Ave
City
Modesto
State
California
Zip
95350-4424
Phone Number
209-523-1884
Fax Number
209-522-6002
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
A75424 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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