MICHAEL RICHARD PORTILLO

SONORA, CA
NPI1306235957
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A144432)
Enumeration Date2015-01-21
Last Update Date2017-12-14
Business Address
Dr. MICHAEL RICHARD PORTILLO M.D.
680 GUZZI LN STE 106
SONORA, CA 95370-5288
Phone number: 209-536-5770
Mailing Address
Dr. MICHAEL RICHARD PORTILLO M.D.
PO BOX 655
TWAIN HARTE, CA 95383-0655
Phone number: 209-206-2266
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