Individual
RICHARD DWIGHT PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP, LP
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7440
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5000
(214) 443-7309
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1366
TX
Other
Enumeration date
06/04/2014
Last updated
02/10/2016
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