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Individual

DR. CAMALA PORTER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-6583
(417) 269-6573
Mailing address
1304 E REPUBLIC RD, BOX 205, SPRINGFIELD, MO 65804-7210
(417) 269-6583
(417) 269-6573

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
108393
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204680102
MO
Enumeration date
11/30/2005
Last updated
04/07/2026
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