Individual
WILLIAM HARRISON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 PINE ST BLDG 4, BRISTOL, VT 05443-1043
(802) 453-5028
Mailing address
61 PINE ST BLDG 4, BRISTOL, VT 05443-1043
(802) 453-5028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0420009973
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48883
BLUE CROSS
—
05
—
OVN2197
—
VT
Enumeration date
12/19/2005
Last updated
02/07/2020
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