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Kristopher Wagner-Porter, M.D
NPI 1922259134 · on the registry since 2008
Practice
- Address
- 331 Sijan Ave
Whiteman Afb, MO 65305 - Phone
- (666) 687-2252
- Organisation at this address
- 509th Medgrp-Whiteman
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-07
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 Missouri