Individual provider · Type 1 NPI

Alexis Porter, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1114762473 Active

Practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Call (215) 612-5161 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XOT023961 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114762473

Alexis Porter, DO's National Provider Identifier is 1114762473, issued on Jun 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 28, 2024.