Individual
DEAN M PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 SKAGGS ROAD, BRANSON, MO 65616
(417) 335-7218
(417) 334-1507
Mailing address
PO BOX 650, BRANSON, MO 65615
(417) 335-7218
(417) 334-1507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005030567
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126814
BCBS
—
01
—
250766
HEALTHLINK
—
01
—
P00398195
RAILROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
01/19/2008
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