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Organization

DAVID A. PORTER, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID A PORTER MD (OWNER)
(405) 329-4304
Entity
Organization

Contact information

Practice address
1407 N PORTER AVE, NORMAN, OK 73071-6659
(405) 329-4304
(405) 366-8993
Mailing address
1407 N PORTER AVE, NORMAN, OK 73071-6659
(405) 329-4304
(405) 366-8993

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13650
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100123490A
OK
Enumeration date
01/17/2013
Last updated
01/17/2013
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