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Individual

BRAXTON PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
435 W CRYSTAL ST., SUITE 300, BUTTE, MT 59701
(406) 496-3600
Mailing address
1007 W PARK ST, BUTTE, MT 59701-9073
(801) 866-4791

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
148617
MT

Other

Enumeration date
10/23/2023
Last updated
02/28/2025
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