Individual
MR. ADAM M DEPORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 546-6400
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(410) 543-7536
(410) 543-7272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06594
MD
Other
Enumeration date
09/21/2017
Last updated
10/20/2017
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