DR. Kristopher M.g. Wagner-Porter, M.D.

NPI #1922259134 in Whiteman Afb, Missouri

Provider Information

NPI Number: 1922259134
Entity Type: Individual
Name: DR. Kristopher M.g. Wagner-Porter, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Oct 7, 2008
Last Updated: Oct 7, 2008

Practice Location

Address: 331 SIJAN AVE
City: Whiteman Afb
State: Missouri
ZIP Code: 65305-1269
Phone: (666) 687-2252

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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