SAMUEL GRANT PORTER

OLATHE, KS
NPI1588079305
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: KS  04-38118)
Enumeration Date2014-07-01
Last Update Date2019-01-29
Business Address
SAMUEL GRANT PORTER MD
800 W FRONTIER LN
OLATHE, KS 66061
Phone number: 913-397-7800
Mailing Address
SAMUEL GRANT PORTER MD
961 E SHALIMAR DR
COLUMBIA, MO 65202-1093
Phone number: 309-202-7445
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