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RYAN PORTER, PA-C
PA-C
Surgical Physician Assistant
NPI: 1669556213IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
447(MT)PA-827(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2005
Contact & Hours
- Address
- 98 POPLAR ST
BLACKFOOT, ID 83221 - Phone
- (208) 785-4100
Quick Facts
- NPI
- 1669556213
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 21
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