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Organization

WESTSIDE HEAD & NECK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE ANN PUTNAM MD (GENERAL PARTNER)
(310) 204-4111
Entity
Organization

Contact information

Practice address
3831 HUGHES AVE, SUITE 504, CULVER CITY, CA 90232-2751
(310) 204-4111
(310) 204-4474
Mailing address
3831 HUGHES AVE, SUITE 504, CULVER CITY, CA 90232-2751
(310) 204-4111
(310) 204-4474

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DR6472
RAIL ROAD
Enumeration date
09/20/2010
Last updated
07/23/2012
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