NPI Profile for STEPHANIE M PORTER in CLAREMORE, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency |
163WE0003X | |||
Administrator |
163WA2000X | |||
Critical Care Medicine |
163WC0200X |
| NPI # | 1699247213 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/20/2018 | |
| Last updated | 12/20/2018 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STEPHANIE M PORTER
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