Doctor Name: | VERNA J. PORTER |
NPI Number: | 1699774414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 36222 |
Business Practice Address: | 2100 Madison Ave Granite City, IL - 620404701 |
Business Phone Number: | 6184514872 |
Business Fax Number: | 6184516203 |
Mailing Address: | 2100 Madison Ave, GRANITE CITY |
State: | IL |
Postal Code: | 620404701 |
Phone Number: | 6184514872 |
Fax Number: | 6184516203 |
NPI Enumeration Date: | 07/14/2005 |
NPI Last Update Date: | 03/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 36222 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |