Dr CHARLES A PORTERA JR. MD is a male medical professional, specializing in Surgical Oncology. He graduated in 1991 from University Of Tennessee College Of Medicine.
KENAI SPINE LLC
1917 ABBOTT RD
ANCHORAGE
AK
995073449
Tel: 9072605455
| Npi | 1467412734 |
| Pac Id | 0042109977 |
| Professional Enrollment Id | I20141028000149 |
| Last Name | PORTERA |
| First Name | CHARLES |
| Middle Name | A |
| Suffix | JR. |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | SURGICAL ONCOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | KENAI SPINE LLC |
| Group Practice Pac Id | 2567617707 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 1917 ABBOTT RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 995073449 |
| Phone Number | 9072605455 |
| Hospital Affiliation Ccn 1 | 020001 |
| Hospital Affiliation Lbn 1 | PROVIDENCE ALASKA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 020017 |
| Hospital Affiliation Lbn 2 | ALASKA REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 020024 |
| Hospital Affiliation Lbn 3 | CENTRAL PENINSULA GENERAL HOSPITAL |
| Hospital Affiliation Ccn 4 | 020006 |
| Hospital Affiliation Lbn 4 | MAT-SU REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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