GREGORY J. PORTER, M.D., INC.
Osteopathic Medicine at Sierra College Dr, Grass Valley, CA

License number
California G72310
Category
Osteopathic Medicine
Type
Anesthesiology
License number
California G72310
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. GREGORY J. PORTER M.D.
Title: PRESIDENT
Phone: (800) 883-7243
Address
Address 2
400B Sierra College Dr, Grass Valley, CA 95945
210 N Tustin Ave, Santa Ana, CA 92705
National Provider ID: 1588849954
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREGORY J. PORTER, M.D., INC

400 Sierra College Dr STE B, Grass Valley, CA 95945

Registration:
Nov 13, 2007
State ID:
C3055012
Business type:
Articles of Incorporation
President:
Gregory J. Porter (President)
Agent:
Gregory J Porter,Grass Valley, CA 95945 (Physical)

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