Porter, Marilyn Gregory

Porter, Marilyn Gregory is an sole proprietor health care provider with primary practice located at 3434 Nw 56Th St , Oklahoma City OK 73112-4415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Porter, Marilyn Gregory can be contacted via phone (405) 943-5677.

Contact Information

Primary practice address
3434 Nw 56Th St Oklahoma City OK 73112-4415
Fax: (405) 943-6140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 7042 Oklahoma

Profile Details

NPI number 1093766727
LBN Legal business name Porter, Marilyn Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated May 4th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093766727 NPPES
Oklahoma MEDICAID 100825080B

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