Individual
MS. MIRIAM ELAINE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3901 PARKWAY CIR, SPRINGDALE, AR 72762-6362
(479) 587-1700
(479) 587-1366
Mailing address
2406 E CAMELOT PL, FAYETTEVILLE, AR 72701-2718
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A004200
AR
Other
Enumeration date
09/11/2014
Last updated
10/12/2021
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