DR. BRIAN PORTER

Internal Medicine

Active Individual
NPI: 1275750515

Practice Address

12413 JAMES MADISON LN
Glenn Dale, MD 20769

Phone: (804) 243-2136

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 0101237244 (VA)

Frequently Asked Questions

NPI 1275750515 is the National Provider Identifier for DR. BRIAN PORTER, a Internal Medicine provider located in Glenn Dale, MD. This NPI was enumerated on April 19, 2007.
DR. BRIAN PORTER practices at 12413 JAMES MADISON LN, Glenn Dale, MD 20769.

Quick Facts

NPI
1275750515
Type
Individual
Enumerated
Apr 19, 2007
Last Updated
Jul 8, 2007

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