Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | E3278 | CA |
NPI | 1356312813 |
---|---|
Provider Name | Dr. Harvey John Purtz |
First Address | Fresno, CA 93706-5435 |
Second Address | Fresno, CA 93706-5435 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 18/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E32780 | (05) | CA |
T11608 | (02) | CA |