NPI 1093119042

Robert Porter, MD

Practitioner Specialist Boise, ID

Practice location

Address: 1346 E Candleridge Dr, Boise, ID 83712-6504
Phone: (208) 426-0491

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence M-3299 (ID)

Other Specialist providers in Idaho →

Registry record

NPI: 1093119042
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2014
Record last updated: 20 Oct 2014

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.