DERRICK SCOTT PORTER

DAYTON, OH
NPI1609215276
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: OH  34.013005)
Additional Taxonomies207R00000X Internal Medicine
(Licence: VA  0116025995)
Enumeration Date2013-06-17
Last Update Date2020-10-26
Business Address
DERRICK SCOTT PORTER D.O
2300 MIAMI VALLEY DR STE 310
DAYTON, OH 45459-1294
Phone number: 937-277-4274
Mailing Address
DERRICK SCOTT PORTER D.O
123 MARE CRK
STANVILLE, KY 41659-7002
Phone number: 606-438-6443