NPI 1285058180

Molly Porter

Practitioner Specialist Terre Haute, IN

Practice location

Address: 1725 N 5th St, Terre Haute, IN 47804-4010
Phone: (812) 238-7210
Mailing address: 25 Circle, Terre Haute, IN 47803-1423

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 05011084A (IN)

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Registry record

NPI: 1285058180
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2014
Record last updated: 12 Feb 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.