Individual
MR. BRYAN PORTERFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6623 MONTEZUMA RD, APT 74, SAN DIEGO, CA 92115-2838
(336) 212-0933
Mailing address
6623 MONTEZUMA RD, APT 74, SAN DIEGO, CA 92115-2838
(336) 212-0933
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
68697
CA
Other
Enumeration date
03/24/2013
Last updated
03/24/2013
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