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Individual

DR. WILLIAM HARRIS PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
307 W MONROE ST, MT PLEASANT, IA 52641-2112
(319) 385-4277
(319) 395-4277
Mailing address
307 W MONROE ST, MT PLEASANT, IA 52641-2112
(319) 385-4277
(319) 395-4277

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
00594
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0264903
UBH ID
IA
05
0264903
IA
01
15821
BCBS OF NORTH DAKOTA
IA
01
42152563801
JOHN DEERE HEALTH
IA
Enumeration date
02/22/2007
Last updated
07/09/2007
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