Individual
AUDREY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2413 71ST ST, URBANDALE, IA 50322-4862
(515) 278-9595
(515) 278-2329
Mailing address
2413 71ST ST, URBANDALE, IA 50322-4862
(515) 278-9595
(515) 278-2329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28835
IA
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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