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Individual

CINDY J PORTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0102201838
VA
207L00000X
Anesthesiology Physician
H0052675
MD
207L00000X
Anesthesiology Physician
Primary
OS20470
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
033579
ANTHEM
VA
05
1629055447
VA
01
31116
AMERIGROUP
VA
01
484645
NCPPO
VA
01
K142-0001
CAREFIRST
VA
Enumeration date
12/22/2005
Last updated
03/22/2024
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