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Individual

DR. BRYAN F PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1985 E FREEDOM DR, NEWBERRY, IN 47449-7125
(812) 847-4481
(844) 658-7526
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-4481
(844) 658-7526

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043657A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200447610
IN
Enumeration date
03/09/2006
Last updated
06/05/2023
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