Individual
LOUIS BASSETT PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UVMMC 111 COLCHESTER AVENUE, BURLINGTON, VT 05401
(802) 847-2345
Mailing address
255 QUARRY HILL RD APT 141, SOUTH BURLINGTON, VT 05403-6397
(801) 706-7305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0014621
VT
208M00000X
Hospitalist Physician
MD201292
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6703267
—
VT
Enumeration date
03/22/2017
Last updated
08/19/2022
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