JOHN PORTEOUS, MD

Surgery

Active Individual
NPI: 1669460630

Practice Address

1541 FLORIDA AVE
SUITE 200
Modesto, CA 95350

Phone: (209) 577-3388

Specialties

Specialty Code Primary License
Surgery 208600000X Yes C2981 (CA)
Surgery - Trauma Surgery 2086S0127X No C2981 (CA)
Surgery - Vascular Surgery 2086S0129X No C2981 (CA)
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X No C2981 (CA)

Frequently Asked Questions

NPI 1669460630 is the National Provider Identifier for JOHN PORTEOUS, MD, a Surgery provider located in Modesto, CA. This NPI was enumerated on October 12, 2005.
JOHN PORTEOUS, MD practices at 1541 FLORIDA AVE, SUITE 200, Modesto, CA 95350.

Quick Facts

NPI
1669460630
Type
Individual
Enumerated
Oct 12, 2005
Last Updated
Mar 29, 2011