Individual
WILLIAM PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1373 E SR 62, MADISON, IN 47250-7328
(812) 801-0603
(812) 801-0589
Mailing address
PO BOX 189, MADISON, IN 47250-0189
(812) 801-0603
(812) 801-0589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57018444
OH
2085R0001X
Radiation Oncology Physician
Primary
01075594A
IN
Other
Enumeration date
10/25/2010
Last updated
12/08/2020
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