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Dr. Nina Porter, MD
Military Health Care Provider in Fairfield, California
NPI 1205525482

Nina Porter is a Military Health Care Provider based in Hayward, CA. Nina Porter practices in Fairfield, CA and has the professional credentials of MD. The NPI Number for Nina Porter is 1205525482 and holds a License No. (California).

The current practice location address for Nina Porter is 101 Bodin Cir, Fairfield, CA and can be reached out via phone at 707-423-3000.

Location: 101 Bodin Cir, Fairfield, CA, 94541-3237
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205525482
Provider Name
Nina Porter
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
101 Bodin Cir, Fairfield, CA, 94541-3237
Phone Number
707-423-3000
Fax Number
Provider Enumeration Date
05/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir
City
Fairfield
State
California
Zip
94535-1809
Phone Number
707-423-3000
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir
City
Fairfield
State
California
Zip
94535-1809
Phone Number
707-423-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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