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Individual
PUTUE TEH
Active
Individual
PUTUE TEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207R00000X
CA
208000000X
Pediatrics Physician
208000000X
CA
2084P0800X
Psychiatry Physician
2084P0800X
CA
363A00000X
Physician Assistant
Primary
363A00000X
CA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
CA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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