person
Ethan James Porter, DO
Student in an Organized Health Care Education/Training Program in Fayetteville, Arkansas
NPI 1194306126

Ethan James Porter is a Student in an Organized Health Care Education/Training Program based in Tempe, AR. Ethan James Porter practices in Fayetteville, AR and has the professional credentials of DO. The NPI Number for Ethan James Porter is 1194306126 and holds a License No. (Arkansas).

The current practice location address for Ethan James Porter is 1125 N College Ave # Slot100, Fayetteville, AR and can be reached out via phone at 479-713-8700 and via fax at 479-714-8670.

Location: 1125 N College Ave # Slot100, Fayetteville, AR, 85283-5356
person
Provider Profile Details
NPI Number
1194306126
Provider Name
Ethan James Porter
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1125 N College Ave # Slot100, Fayetteville, AR, 85283-5356
Phone Number
479-713-8700
Fax Number
479-714-8670
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1125 N College Ave # Slot100
City
State
Zip
72703-1908
Phone Number
479-713-8700
Fax Number
479-714-8670
person
Provider Business Mailing Address Details
Address
1125 N College Ave # Slot100
City
State
Zip
72703-1908
Phone Number
479-713-8700
Fax Number
479-714-8670
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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