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1285016048
BRENT JAMES PORTZ
CHARLOTTESVILLE, VA
NPI
1285016048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0116028595)
Enumeration Date
2015-06-29
Last Update Date
2018-09-25
Business Address
Dr. BRENT JAMES PORTZ D.O.
1215 LEE ST # 800133
CHARLOTTESVILLE, VA 22908-2922
Phone number: 434-924-8661
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Mailing Address
Dr. BRENT JAMES PORTZ D.O.
1215 LEE STREET - BOX NUMBER 800133
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-924-8661
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