Individual
CHRISTOPHER J. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 MEDICAL CENTER CIR STE 213, FISHERSVILLE, VA 22939
(540) 245-7705
(540) 245-7710
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5162
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101252390
VA
208600000X
Surgery Physician
MD24443
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD24443
STATE LICENSE
OR
Enumeration date
05/05/2006
Last updated
08/13/2019
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