Individual provider · Type 1 NPI
Dustin Blake Porter
Surgery Physician · Burley, ID
Practice location
1501 Hiland Ave Ste H
Burley, ID 83318-2688
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice locations
- 550 S Jackson St, Room A2J21, Louisville, KY 40202-1622 · (502) 852-6191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Surgery Physician Primary | 208600000X | M-14207 (ID) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
3 other providers at this address
Other surgery physician providers in Burley
About NPI 1205178399
Dustin Blake Porter's National Provider Identifier is 1205178399, issued on Mar 26, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Burley, ID. The record was last updated on Mar 3, 2026.