Organization
SAMUEL K WIRTSCHAFTER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL K WIRTSCHAFTER MD (PRESIDENT)
(310) 832-4517
Entity
Organization
Contact information
Practice address
1360 W 6TH ST, SUITE 315N, SAN PEDRO, CA 90732-3514
(310) 832-4517
(310) 832-6419
Mailing address
1360 W 6TH ST, SUITE 315N, SAN PEDRO, CA 90732-3514
(310) 832-4517
(310) 832-6419
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A181060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A181060
—
CA
Enumeration date
04/18/2007
Last updated
03/07/2008
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