NPI 1376744664

Porter Physician Services LLC

Organisation Physical Medicine & Rehabilitation Physician Portage, IN

Practice location

Address: 3220 Lancer St, Portage, IN 46368-4495
Phone: (219) 764-8439
Fax: (219) 764-8463
Mailing address: PO Box 2028, Portage, IN 46368-5528

Authorised official

Name: Gary D Newsome
Title: President
Phone: (615) 465-7000

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Indiana →

Registry record

NPI: 1376744664
Entity type: Organization
NPI issued: 31 May 2007
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.