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Organization
PACIFIC REGENERATIVE AND INTERVENTIONAL SPORTS MEDICINE
Active
Organization
PACIFIC REGENERATIVE AND INTERVENTIONAL SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRICE WILLIAM BLATZ M.D., M.S. (OWNER)
(408) 440-0930
Entity
Organization
Contact information
Practice address
6080 HELLYER AVE, SUITE 100, SAN JOSE, CA 95138-1052
(408) 440-0930
(408) 440-0389
Mailing address
6080 HELLYER AVE, SUITE 100, SAN JOSE, CA 95138-1052
(408) 440-0930
(408) 440-0389
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A124037
CA
Other
Enumeration date
08/30/2016
Last updated
09/06/2016
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