Individual
DR. DUSTIN MATHEW PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 KERR AVE, POTEAU, OK 74953-5270
(918) 649-1100
Mailing address
13271 AMBLEWOOD DR, MANASSAS, VA 20112-7818
(903) 508-9435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101279209
VA
207Q00000X
Family Medicine Physician
25895
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101279209
VA
207QS0010X
Sports Medicine (Family Medicine) Physician
25895
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2009
Last updated
04/07/2026
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