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Individual

DR. STEVEN PAUL PORTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
14300 E 138TH STE D, FISHERS, IN 46037-0051
(317) 558-3460
(317) 558-0710
Mailing address
16543 COLLINGTREE DR, NOBLESVILLE, IN 46060-4452
(954) 650-9436

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02004784A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300013956
IN
01
512461
ANTHEM
IN
01
6776038
UNITED
IN
Enumeration date
07/20/2012
Last updated
12/03/2024
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