BRENT LELAND PORTEOUS

MARTINEZ, CA
NPI1083040463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  12969)
Enumeration Date2013-09-17
Last Update Date2013-09-17
Business Address
-- BRENT LELAND PORTEOUS D.O.
2500 ALHAMBRA AVE
MARTINEZ, CA 94553-3156
Phone number: 925-370-5200
Mailing Address
-- BRENT LELAND PORTEOUS D.O.
2500 ALHAMBRA AVE
MARTINEZ, CA 94553-3156
Phone number: