O.l.puttler, Jr., M.d. A Professional Corporation

NPI 1275812091 - Clinic/Center - 261QM1300X

NPI Details
NPI 1275812091
Enumeration Date 08/10/2011
Last Updated 08/10/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name OLIVER L OLIVER
Position OWNER
Phone (707) 822-1131
Fax (707) 822-0746
Practice Location
3798 JANES RD
SUITE 15
ARCATA CA, 95521-4753, US
Phone (707) 822-1131
Fax (707) 822-0746
Business Location
3798 JANES RD
SUITE 15
ARCATA CA, 95521-4753, US
Phone (707) 822-1131
Fax (707) 822-0746
Toxanomy
Taxonomy Code 261QM1300X
License State California
License Number G13904
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According to our database, O.l.puttler, Jr., M.d. A Professional Corporation NPI is 1275812091, taxonomy code is 261QM1300X and license number is G13904, license state is located at California. O.l.puttler, Jr., M.d. A Professional Corporation physically located at 3798 Janes Rd, Arcata CA, 95521-4753. NPI Number 1033115704 has the healthcare provider type.

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1275812091 NPI number is provided on an as is basis without warranty of any kind. 1275812091 is maintained by the National Plan & Provider Enumeration System. The contents of O.l.puttler, Jr., M.d. A Professional Corporation are for informational purposes only.