Individual
DR. MISTY MARIE BLANCHETTE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DEPARTMENT OB/GYN, LEBANON, NH 03756-1000
(603) 653-9240
(802) 650-0905
Mailing address
1 MEDICAL CENTER DR, DEPARTMENT OB/GYN, LEBANON, NH 03756-1000
(603) 653-9240
(603) 650-0905
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
042-0008516
VT
207VE0102X
Reproductive Endocrinology Physician
Primary
8749
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN092
—
VT
05
—
80003976
—
NH
Enumeration date
07/13/2006
Last updated
09/12/2011
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