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Individual

DR. STEPHEN C PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3333 BURNET AVE, ML 2008, CINCINNATI, OH 45229-3026
(513) 636-7966
(513) 636-7967
Mailing address
3333 BURNET AVE, ML 2008, CINCINNATI, OH 45229-3026
(513) 636-7966
(513) 636-7967

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35.127982
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3176750
MA
Enumeration date
06/13/2006
Last updated
01/04/2018
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