NPI 1104098961

Justin Ross Porter, MD

Practitioner Interventional Pain Medicine Physician Oklahoma City, OK

Practice location

Address: 3601 NW 138th St, Oklahoma City, OK 73134-2513
Phone: (405) 242-4100
Fax: (405) 775-9356
Mailing address: PO Box 108835, Oklahoma City, OK 73101-8835

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 29694 (OK)

Other Pain Medicine providers in Oklahoma →

Anesthesiology Physician

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 29694 (OK)

Other Anesthesiology providers in Oklahoma →

Registry record

NPI: 1104098961
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2008
Record last updated: 12 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.