Michael J Putnam in Emeryville - Physician Assistant

Michael J Putnam - NPI 1124073200

Michael J Putnam is a Physician Assistant in Emeryville, California. Michael J Putnam practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael J Putnam is 1124073200. The last update date is 2007-11-26.

Michael J Putnam's current location address is 2100 Powell St, Emeryville, California. You can contact this provider via phone number 5103502777. The mailing address for Michael J Putnam is 2100 Powell St, Emeryville, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael J Putnam
Address 2100 Powell St, Emeryville, California
Phone Number 5103502777
Fax Number
Sole Proprietor N
Credentials P.A-C

NPI Number Detail

NPI Number 1124073200
Provider Enumeration Date 2006-05-24
Last Updated Date 2007-11-26

Provider Mailing Address Detail

Address 2100 Powell St
City Emeryville
State California (CA)
Post Code 946081826
Phone Number 5103502777
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA17820
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Michael J Putnam

What is the unique provider identifier assigned to Michael J Putnam?

The Michael J Putnam has been issued the NPI (National Provider Identifier) 1124073200 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Michael J Putnam is physically located?

The Michael J Putnam is physically situated at the following address: 2100 Powell St, Emeryville, CA, 946081826.

What is Michael J Putnam's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael J Putnam is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124073200 to Michael J Putnam?

The Centers for Medicare & Medicaid Services originally issued the 1124073200 to Michael J Putnam on 2006-05-24.

When was the information regarding Michael J Putnam, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Michael J Putnam, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-26.

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