Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | G58499 | CA |
N | 207VE0102X | Reproductive Endocrinologist | G58499 | CA |
N | 207VG0400X | Gynecologist | G58499 | CA |
N | 207VX0000X | Obstetrician | G58499 | CA |
N | 208D00000X | General Practice Physician | G58499 | CA |
NPI | 1295880995 |
---|---|
Provider Name | Dr. Paul G Kratzer |
First Address | Madera, CA 93639-0299 |
Second Address | Madera, CA 93638-3719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BK0635283 | DEA (01) | CA |
F22925 | (02) | CA |
G58499 | LICENSE (01) | CA |