Individual
DERRICK SCOTT PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
7502 STATE RD STE 2210A, CINCINNATI, OH 45255-2596
(513) 624-2070
(513) 624-2077
Mailing address
7502 STATE RD STE 2210A, CINCINNATI, OH 45255-2596
(513) 624-2070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116025995
VA
207RI0011X
Interventional Cardiology Physician
Primary
34.013005
OH
Other
Enumeration date
06/17/2013
Last updated
03/30/2026
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