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Dr. Jason Porter, DO
Student in an Organized Health Care Education/Training Program in Kingman, Arizona
NPI 1497449847

Jason Porter is a Student in an Organized Health Care Education/Training Program based in Upland, AZ. Jason Porter practices in Kingman, AZ and has the professional credentials of DO. The NPI Number for Jason Porter is 1497449847 and holds a License No. R4140 (Arizona).

The current practice location address for Jason Porter is 3269 N Stockton Hill Rd, Kingman, AZ and can be reached out via phone at 928-681-8701.

Location: 3269 N Stockton Hill Rd, Kingman, AZ, 91786-7669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497449847
Provider Name
Jason Porter
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3269 N Stockton Hill Rd, Kingman, AZ, 91786-7669
Phone Number
928-681-8701
Fax Number
Provider Enumeration Date
06/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3269 N Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86409-3619
Phone Number
928-681-8701
Fax Number
person
Provider Business Mailing Address Details
Address
3269 N Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86409-3619
Phone Number
928-681-8701
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R4140 (California)
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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