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Individual

VERNA RUTH PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1301 20TH ST STE 150, SANTA MONICA, CA 90404
(310) 582-7641
(310) 315-4069
Mailing address
PO BOX 202, LIBERTY LAKE, WA 99019-0202
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A55356
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A553560
CA
Enumeration date
07/17/2006
Last updated
04/19/2021
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