Individual
DR. PEYTON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12140 S WACO AVE, GLENPOOL, OK 74033-5660
(918) 296-3937
Mailing address
12140 S WACO AVE, GLENPOOL, OK 74033-5660
(918) 296-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3148
OK
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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