# BRUCE P. DECARLO, MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thomas J. Purtzer, MD, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215011580
- **Authorized official:** RICHARD SCHORK (VICE PRESIDENT)
- **Authorized official phone:** (714) 441-1242

## Contact information

- **Practice address:** 7407 N CEDAR AVE, SUITE 103, FRESNO, CA 93720-3839
- **Practice address phone:** (559) 440-9904
- **Practice address fax:** (559) 440-9420
- **Mailing address:** 373 IMPERIAL HWY, FULLERTON, CA 92835-1040
- **Mailing address phone:** (714) 441-1242
- **Mailing address fax:** (714) 441-2449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A034681 | CA | Yes |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 08/22/2020