NPI 1407373103

Porter Emergency Group, PC

Organisation Emergency Medicine Physician Valparaiso, IN

Practice location

Address: 85 E US Highway 6, Valparaiso, IN 46383-8947
Phone: (219) 983-8300
Mailing address: 200 Corporate Blvd, Lafayette, LA 70508-3870

Authorised official

Name: Derik K King
Title: President
Phone: (800) 893-9698

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1407373103
Entity type: Organization
NPI issued: 24 Aug 2017
Record last updated: 24 Aug 2017

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.