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Individual

DR. BRIAN SCOTT PORSHINSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
621 S NEW BALLAS RD, SUITE 7003B, SAINT LOUIS, MO 63141-8232
(314) 251-5570
(314) 251-5571
Mailing address
621 S NEW BALLAS RD, SUITE 7003B, SAINT LOUIS, MO 63141-8232
(314) 251-5570
(314) 251-5571

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
036111057
IL
208200000X
Plastic Surgery Physician
Primary
2012011177
MO
208200000X
Plastic Surgery Physician
2443861
NY
208200000X
Plastic Surgery Physician
35.092323
OH
208600000X
Surgery Physician
35092323
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2978265
OH
Enumeration date
08/25/2008
Last updated
02/05/2013
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