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ROBERT PORTER, PA-C
PA-C
Physician Assistant
NPI: 1861565988IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
2551(AZ)1287(ID)PA-1287(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 190 E BANNOCK ST
BOISE, ID 83712 - Phone
- (480) 688-6930
Quick Facts
- NPI
- 1861565988
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 25
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