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1477791606
MATTHEW TIMOTHY PORTER
ROLLA, MO
NPI
1477791606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 26022)
Enumeration Date
2009-01-26
Last Update Date
2020-07-23
Business Address
Mr. MATTHEW TIMOTHY PORTER M.D.
831 LAUREL DR
ROLLA, MO 65401-3841
Phone number: 573-596-1765
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Mailing Address
Mr. MATTHEW TIMOTHY PORTER M.D.
1081 EAST 18TH STREET PO BOX 458
ROLLA, MO 65401-8115
Phone number: 573-426-6712
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