Organization
KOHUT MEDICAL A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES KOHUT MD (OWNER)
(831) 359-7243
Entity
Organization
Contact information
Practice address
1595 SOQUEL AVE, STE 360, SANTA CRUZ, CA 95065-1722
(831) 475-5232
Mailing address
PO BOX 1352, SOQUEL, CA 95073-1352
(831) 475-5232
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G84723
CA
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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