Individual
REGINA PURTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 NE 7TH ST, GRANTS PASS, OR 97526-1420
(541) 291-6691
Mailing address
1018 NE 7TH ST, GRANTS PASS, OR 97526-1420
(541) 291-6691
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
F-RP2161003
OR
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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