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Individual

DR. STEVEN G. PORTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.N.

Contact information

Practice address
3607 VINYARD RD, BATES CITY, MO 64011-8102
(816) 721-7806
Mailing address
3607 VINYARD RD, BATES CITY, MO 64011-8102
(816) 721-7806

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0006
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00RK19
BLUE CROSS/ BLUE SHIELD
NM
Enumeration date
08/19/2006
Last updated
07/08/2007
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