Individual
MEGAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
307 N 300 W STE 301, KAYSVILLE, UT 84037-1852
(801) 897-8711
Mailing address
616 S 950 W, FARMINGTON, UT 84025-4703
(801) 860-5999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10134261-4701
UT
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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