Individual
DR. THEODORE W. KURTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
185 BERRY ST, SAN FRANCISCO, CA 94107-1773
(415) 353-1979
(415) 353-1804
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G46628
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G466280
—
CA
Enumeration date
06/12/2006
Last updated
06/10/2008
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