Organization
BRUCE P. DECARLO, MD, INC.
Active
Other names
Thomas J. Purtzer, MD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCHORK (VICE PRESIDENT)
(714) 441-1242
Entity
Organization
Contact information
Practice address
373 IMPERIAL HWY, FULLERTON, CA 92835-1040
(714) 441-1242
(714) 441-2449
Mailing address
373 IMPERIAL HWY, FULLERTON, CA 92835-1040
(714) 441-1242
(714) 441-2449
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C51535
CA
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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