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Individual

JOHN M PORTER

Active
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Individual

JOHN M PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
19827
MS
2086S0127X
Trauma Surgery Physician
19827
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00736216
MS
05
642422
AZ
01
P00797090
RAILROAD MEDICARE
MS
01
P01185849
RAILROAD MEDICARE
MS
Enumeration date
10/18/2006
Last updated
10/23/2013
About Stedi
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