Dr. Jonathan Daniel Porter, DO
Student in an Organized Health Care Education/Training Program in San Diego, CA. Individual provider (NPI-1).
NPI number1902398043
StatusActive
Last updated in NPPESJun 5, 2018
Details
- NPI
- 1902398043
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan Daniel Porter
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2018
- Last updated
- Jun 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
Naval Medical Center San Diego 38400 Bob Wilson DrSan Diego, CA 92134-5000
Phone 972-757-2923
Mailing address
Naval Medical Center San Diego 38400 Bob Wilson DrSan Diego, CA 92134-5000
Phone 972-757-2923
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