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Dr. David L Porter, DO
Diagnostic Radiology Physician in Peoria, Illinois
NPI 1316016827

David L Porter is a Diagnostic Radiology Physician based in East Peoria, IL and is specialized in Diagnostic Radiology. David L Porter practices in Peoria, IL and has the professional credentials of DO. The NPI Number for David L Porter is 1316016827 and holds a License No. 036-089396 (Illinois).

The current practice location address for David L Porter is 530 Ne Glen Oak Ave, Peoria, IL and can be reached out via phone at 309-655-2000.

Location: 530 Ne Glen Oak Ave, Peoria, IL, 61611-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316016827
Provider Name
David L Porter
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
530 Ne Glen Oak Ave, Peoria, IL, 61611-1853
Phone Number
309-655-2000
Fax Number
Provider Enumeration Date
11/07/2006
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-1571
Phone Number
309-655-2000
Fax Number
person
Provider Business Mailing Address Details
Address
530 Ne Glen Oak Ave
City
Peoria
State
Illinois
Zip
61637-1571
Phone Number
309-655-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036-089396 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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