Individual
LINDA L PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
72 ROCK CHURCH DR, O FALLON, MO 63368-8162
(636) 240-8821
(636) 294-1488
Mailing address
72 ROCK CHURCH DR, O FALLON, MO 63368-8162
(636) 240-8821
(636) 294-1488
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000616
MO
Other
Enumeration date
08/11/2005
Last updated
04/16/2008
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