Individual
ROBERT D WIRTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
C32562
CA
2085N0700X
Neuroradiology Physician
C32562
CA
2085N0904X
Nuclear Radiology Physician
C32562
CA
2085P0229X
Pediatric Radiology Physician
C32562
CA
2085R0202X
Diagnostic Radiology Physician
Primary
C32562
CA
2085R0204X
Vascular & Interventional Radiology Physician
C32562
CA
2085U0001X
Diagnostic Ultrasound Physician
C32562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C325620
BLUE SHIELD
CA
01
—
300049539
RAILROAD
CA
Enumeration date
08/25/2006
Last updated
02/22/2016
Update your record
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