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1154831642
DAVID VAUGHN PORTER
KANSAS CITY, MO
NPI
1154831642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MO 2017036354)
Enumeration Date
2017-10-10
Last Update Date
2024-03-21
Business Address
DAVID VAUGHN PORTER PA-C
2316 E MEYER BLVD
KANSAS CITY, MO 64132-1136
Phone number: 816-912-2100
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Mailing Address
DAVID VAUGHN PORTER PA-C
1010 CARONDELET DR STE 121
KANSAS CITY, MO 64114-4859
Phone number: 816-912-2100
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