person
Dr. Kristopher M.g. Wagner-porter, MD
General Practice Physician in Whiteman Afb, Missouri
NPI 1922259134

Kristopher M.g. Wagner-porter is a General Practice Physician based in Whiteman Afb, MO. Kristopher M.g. Wagner-porter practices in Whiteman Afb, MO and has the professional credentials of MD. The NPI Number for Kristopher M.g. Wagner-porter is 1922259134 and holds a License No. 01065866A (Missouri).

The current practice location address for Kristopher M.g. Wagner-porter is 331 Sijan Ave, Whiteman Afb, MO and can be reached out via phone at 666-687-2252.

Location: 331 Sijan Ave, Whiteman Afb, MO, 65305-1269
person
Provider Profile Details
NPI Number
1922259134
Provider Name
Kristopher M.g. Wagner-porter
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
331 Sijan Ave, Whiteman Afb, MO, 65305-1269
Phone Number
666-687-2252
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
331 Sijan Ave
City
State
Zip
65305-1269
Phone Number
666-687-2252
Fax Number
person
Provider Business Mailing Address Details
Address
331 Sijan Ave
City
State
Zip
65305-1269
Phone Number
666-687-2252
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
01065866A (Indiana)
Definition
Definition to come...
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