Individual
CODY PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-2432
(513) 862-8857
Mailing address
PO BOX 632572, CINCINNATI, OH 45263-2572
(859) 341-2666
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN.450599
OH
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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