DR. Charles Robert Portwood, D.C.

NPI #1689611576 in Scott Afb, Illinois

Provider Information

NPI Number: 1689611576
Entity Type: Individual
Name: DR. Charles Robert Portwood, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jun 1, 2006
Last Updated: Aug 7, 2024

Practice Location

Address: 310 W LOSEY ST
City: Scott Afb
State: Illinois
ZIP Code: 62225-5250
Phone: (618) 256-6267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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