Porter, Steven L

Porter, Steven L is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Ste 200 , Gilbert AZ 85234-2171. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Porter, Steven L can be contacted via phone (602) 648-5444.

Contact Information

Primary practice address
2940 E Banner Gateway Dr Ste 200 Gilbert AZ 85234-2171
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 25535 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 25535 Arizona
Other Service Providers / Specialist 174400000X 25535 Arizona

Profile Details

NPI number 1679570048
LBN Legal business name Porter, Steven L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679570048 NPPES
Arizona Other 412172351 TAX ID

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