Organization
JOHN M PORTERA DPM LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M PORTERA DPM (OWNER)
(662) 335-5872
Entity
Organization
Contact information
Practice address
1175 S MAIN ST, GREENVILLE, MS 38701-6337
(662) 335-5872
Mailing address
1175 S MAIN ST, GREENVILLE, MS 38701-6337
(662) 335-5872
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80037
MS
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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