Individual
JEFFREY ARIEL PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 632-6688
(405) 604-0708
Mailing address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 632-6688
(405) 604-0708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23554
OK
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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