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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUSTIN ROSS PORTER, M.D.

Active

DR. JUSTIN ROSS PORTER, M.D. is a Interventional Vascular Surgery healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1104098961 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · OKLAHOMA CITY, OK

Registration Details

NPI Number
1104098961
Provider Type
Individual
Gender
Male
NPI Issued
Apr 1, 2008 (18.340187725231 yrs)
Last Updated
Nov 12, 2014
Licenses
29694 (OK)
29694 (OK)

Practice Information

Address
3601 NW 138TH ST
OKLAHOMA CITY, OK, 731342513
Browse OK providers · Browse ZIP 73134
Phone
4052424100
Fax
4057759356
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in OKLAHOMA CITY, OK

Name Credential NPI
DR. JACK E MARSHALL MD 1982608873
DR. SCOTT A MITCHELL DO 1952305849
DR. RANDALL WAYNE HENTHORN MD 1508858804
DR. MARTIN J LOPEZ MD 1013905942
DR. AHMED A AMAYEM M.D. 1992718381
PATRICK TIMOTHY PREVO M.D. 1972770386
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.