Individual
DR. MARTIN D. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 751-5711
Mailing address
PO BOX 583, LOWELL, AR 72745-0583
(888) 991-1101
(903) 787-5854
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C7739
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123210001
—
AR
Enumeration date
05/11/2006
Last updated
10/30/2024
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