Randall W Porter in Phoenix - Neurological Surgery

Randall W Porter - NPI 1730176389

Randall W Porter is a Neurological Surgery in Phoenix, Arizona. Randall W Porter practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Randall W Porter is 1730176389. The last update date is 2021-01-06.

Randall W Porter's current location address is 2910 N 3rd Ave, Phoenix, Arizona. You can contact this provider via phone number 6024064856 and fax number 6024063369. The mailing address for Randall W Porter is 2910 N 3rd Ave, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall W Porter
Address 2910 N 3rd Ave, Phoenix, Arizona
Phone Number 6024064856
Fax Number 6024063369
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1730176389
Provider Enumeration Date 2005-09-29
Last Updated Date 2021-01-06

Provider Mailing Address Detail

Address 2910 N 3rd Ave
City Phoenix
State Arizona (AZ)
Post Code 850134434
Phone Number 6024064856
Fax Number 6024063369

Provider's Primary Taxonomy Detail

Speciality Neurological Surgery
Taxonomy 207T00000X
Licence No 28395
Definition:
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
509888 AZ --

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FAQs about Randall W Porter

What is the unique identifier code issued to Randall W Porter by the Centers for Medicare & Medicaid Services (CMS)?

The Randall W Porter has been assigned the NPI (National Provider Identifier) 1730176389. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Randall W Porter's physical address?

The Randall W Porter is physically located at 2910 N 3Rd Ave, in the city of Phoenix, AZ, with the postal code 850134434.

What is the Randall W Porter's area of specialization and corresponding taxonomy classification?

The Randall W Porter's specialty field is Neurological Surgery, and it falls under the taxonomy code 207T00000X, which categorizes healthcare providers based on their specialties.

On what date did Randall W Porter receive its 1730176389 assignment from the Centers for Medicare & Medicaid Services?

The Randall W Porter was assigned its 1730176389 on 2005-09-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Randall W Porter most recently updated or revised?

The information pertaining to Randall W Porter, including its address, specialty, and other relevant details, was last updated or revised on 2021-01-06.

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