Individual
ANDREW C PORTER
Active
Individual
ANDREW C PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS016155
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
34.011169
OH
390200000X
Student in an Organized Health Care Education/Training Program
OT012365
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099923
—
OH
Enumeration date
02/20/2009
Last updated
12/16/2020
Update your record
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