| Dr Ron Wade Porter, MD | |
|
3067 Eagle Dr, Ammon, ID 83406-1273 | |
| (208) 522-4600 | |
| (208) 552-7521 |
| Full Name | Dr Ron Wade Porter |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3067 Eagle Dr, Ammon, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770577728 | NPI | - | NPPES |
| 804187300 | Medicaid | ID | |
| 000010004000 | Other | ID | BLUE SHIELD |
| 42291 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | M-7271 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ron Wade Porter, MD 3067 Eagle Dr, Ammon, ID 83406-1273 Ph: (208) 522-4600 | Dr Ron Wade Porter, MD 3067 Eagle Dr, Ammon, ID 83406-1273 Ph: (208) 522-4600 |
Dr. Scott Alan Smith, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 Fax: 208-552-7521 | |
Dr. Mitchael Conrad Steorts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 Fax: 208-552-7521 | |
Morgan Melton, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 | |
Carol Klett Vance, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1619 Curlew Dr Ste 6, Ammon, ID 83406 Phone: 208-523-4688 Fax: 208-523-4990 | |
Dr. Jeffrey Webb, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 Fax: 208-552-7521 | |
Seth Cannon Spencer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 | |
Dr. Joseph Reed Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3067 Eagle Dr, Ammon, ID 83406 Phone: 208-522-4600 Fax: 208-552-7521 |