Kurt R Wharton MD, INC.
Specialist in Lafayette, CA. Organization (NPI-2).
NPI number1992962013
StatusActive
Last updated in NPPESMay 16, 2008
Details
- NPI
- 1992962013
- Entity type
- Organization (NPI-2)
- Legal business name
- Kurt R Wharton MD, INC.
- Organization subpart
- No
- Enumeration date
- May 16, 2008
- Last updated
- May 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G57090 | CA | Yes |
Practice location
970 Dewing AveSuite 201
Lafayette, CA 94549-4291
Phone 925-962-0002 · Fax 925-962-0003
Mailing address
970 Dewing AveSuite 201
Lafayette, CA 94549-4291
Phone 925-962-0002 · Fax 925-962-0003
Authorized official
Jennifer D McGettigan
Office Manager
9259620002
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