Search › Mississippi › 1223G0001X
Phillip Portera, D.M.D
NPI 1437148483 · on the registry since 2005
Practice
- Address
- 301 Fisher St
Keesler Afb, MS 39534 - Phone
- (228) 376-0511
- Organisation at this address
- 81st Medical Group
81st Medgrp-Keesler
Keesler Medical Center 81st Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 146
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi