Individual
MS. SUSAN CAROLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
550 SIXTH AV N, WOLF POINT, MT 59201-0729
(406) 653-5628
(406) 653-1177
Mailing address
550 6TH AVE NORTH, WOLF POINT, MT 59201
(406) 653-5628
(406) 653-1177
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
805
MT
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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