Individual
DR. IVAN RODRIGO KIRYLUK PUTZIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 CALIFORNIA DR., VACAVILLE, CA 95687
(707) 448-6841
Mailing address
1600 CALIFORNIA DR., VACAVILLE, CA 95687
(707) 448-6841
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A125612
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2009
Last updated
07/21/2022
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