Edward J Puttre Jr Md Inc

NPI 1336281443 - Ophthalmology - 207W00000X

NPI Details
NPI 1336281443
Enumeration Date 02/13/2007
Last Updated 08/23/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EDWARD J EDWARD
Position OWNER
Phone (909) 887-3937
Fax (909) 887-9698
Practice Location
1800 WESTERN AVE
SUITE 101
SAN BERNARDINO CA, 92411-1356, US
Phone (909) 887-3937
Fax (909) 887-9698
Business Location
1800 WESTERN AVE
SUITE 101
SAN BERNARDINO CA, 92411-1356, US
Phone (909) 887-3937
Fax (909) 887-9698
Toxanomy
Taxonomy Code 207W00000X
License State California
License Number G22264
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According to our database, Edward J Puttre Jr Md Inc NPI is 1336281443, taxonomy code is 207W00000X and license number is G22264, license state is located at California. Edward J Puttre Jr Md Inc physically located at 1800 Western Ave, San Bernardino CA, 92411-1356. NPI Number 1033115704 has the healthcare provider type.

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1336281443 NPI number is provided on an as is basis without warranty of any kind. 1336281443 is maintained by the National Plan & Provider Enumeration System. The contents of Edward J Puttre Jr Md Inc are for informational purposes only.