| O L Puttler Jr Md A Professional Corporation | |
|
3798 Janes Rd Suite 15 Arcata CA 95521-4753 | |
| (707) 822-1131 | |
| (707) 822-0746 |
| Full Name | O L Puttler Jr Md A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3798 Janes Rd, Arcata, California |
| Authorized Official Name and Position | Oliver L Puttler (OWNER) |
| Authorized Official Contact | 7078221131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O L Puttler Jr Md A Professional Corporation 3798 Janes Rd Suite 15 Arcata CA 95521-4753 Ph: (707) 822-1131 | O L Puttler Jr Md A Professional Corporation 3798 Janes Rd Suite 15 Arcata CA 95521-4753 Ph: (707) 822-1131 |
| NPI Number | 1275812091 |
|---|---|
| Provider Enumeration Date | 08/10/2011 |
| Last Update Date | 09/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275812091 | NPI | - | NPPES |
| 00G139040 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | G13904 (California) | Primary |
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