Tyler Porter

NPI #1508672239 in Whiting, Indiana

Provider Information

NPI Number: 1508672239
Entity Type: Individual
Name: Tyler Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 6, 2024
Last Updated: Dec 6, 2024

Practice Location

Address: 1715 CLEVELAND AVE. APT. 2F
City: Whiting
State: Indiana
ZIP Code: 46394
Phone: (219) 386-9175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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