Individual
CLIFFORD PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1791 CASTLE HILL RD, WALNUT CREEK, CA 94595-2312
(925) 286-7525
Mailing address
1791 CASTLE HILL RD, WALNUT CREEK, CA 94595-2312
(925) 286-7525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA52949
CA
Other
Enumeration date
10/27/2015
Last updated
11/21/2016
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