Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DERRICK ALLEN PORTER
Active Sole ProprietorMR. DERRICK ALLEN PORTER is a Foot & Ankle Surgery healthcare provider located in SPRINGDALE, Arkansas. NPI 1760406938 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · SPRINGDALE, AR
Registration Details
- NPI Number
- 1760406938
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.066726197286 yrs)
- Last Updated
- Jul 9, 2007
- License
-
60593 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20188 W VANZANT RDSPRINGDALE, AR, 727648978Browse AR providers · Browse ZIP 72764
- Phone
- 4792631804
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in SPRINGDALE, AR
| Name | Credential | NPI |
|---|---|---|
| TRENT ALLEN PORTER | — | 1437438736 |
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.