Organization
SPP D.O., LLC
Active
Other names
Dr. Steven Porto, DO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN PAUL PORTO DO (CEO / SURGEON)
(954) 650-9436
Entity
Organization
Contact information
Practice address
9660 E 146TH ST STE 100, NOBLESVILLE, IN 46060
(317) 774-7777
Mailing address
9489 EDGESTONE DR APT 312, NOBLESVILLE, IN 46060-5342
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013956
—
IN
Enumeration date
11/08/2017
Last updated
07/30/2018
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