MR. MARK PORTER, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1457478828

Practice Address

4381 S EASON BLVD
Tupelo, MS 38801

Phone: (662) 377-5469

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes AT0337 (MS)

Frequently Asked Questions

NPI 1457478828 is the National Provider Identifier for MR. MARK PORTER, ATC, a Specialist/Technologist - Athletic Trainer provider located in Tupelo, MS. This NPI was enumerated on March 23, 2007.
MR. MARK PORTER, ATC practices at 4381 S EASON BLVD, Tupelo, MS 38801.

Quick Facts

NPI
1457478828
Type
Individual
Enumerated
Mar 23, 2007
Last Updated
Jul 8, 2007

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