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Individual

DR. SCOTT W PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3243 E MURDOCK ST, SUITE 404, WICHITA, KS 67208-3052
(316) 685-6222
(316) 685-1273
Mailing address
3243 E MURDOCK, SUITE 404, WICHITA, KS 67208
(316) 685-6222
(316) 685-1273

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-23794
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100173390A
KS
01
47559
MEDICARE
KS
Enumeration date
02/28/2006
Last updated
08/13/2025
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