Individual
MERLIN STANLEY PUTERBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 LASSEN ST, # 1, LOS ALTOS, CA 94022-3986
(650) 941-7488
Mailing address
480 LASSEN ST, # 1, LOS ALTOS, CA 94022-3986
(650) 941-7488
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
30316
AZ
2085R0202X
Diagnostic Radiology Physician
C 29719
CA
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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