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Individual

DR. KURT HAUPT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
35 CASA ST, SUITE 220, SAN LUIS OBISPO, CA 93405-1818
(805) 786-4111
(805) 543-6357
Mailing address
100 CASA ST, SUITE B, SAN LUIS OBISPO, CA 93405-1883
(805) 544-8811
(805) 548-0777

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G46037
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G460370
CA
05
GR0092200
CA
Enumeration date
07/15/2006
Last updated
04/16/2014
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