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Organization
JOHN PHILLIP HURWITZ MD A PROFESSIONAL CORPORATION
Active
Organization
JOHN PHILLIP HURWITZ MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HURWITZ D.O. (PHYSICIAN)
(707) 583-1805
Entity
Organization
Contact information
Practice address
3751 MONTGOMERY DR, SANTA ROSA, CA 95405-5214
(707) 583-1805
Mailing address
122 CALISTOGA RD, SUITE 197, SANTA ROSA, CA 95409-3702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2OA6856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9645038
—
CA
Enumeration date
01/03/2008
Last updated
12/14/2016
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