Organization
PUTT C PETRULLI DPM
Active
Other names
Alhambra Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
PUTT C PETRULLI DPM (OWNER)
(626) 282-9950
Entity
Organization
Contact information
Practice address
330 N GARFIELD AVE, STE 6, ALHAMBRA, CA 91801-2400
(626) 282-9950
Mailing address
330 N GARFIELD AVE, STE 6, ALHAMBRA, CA 91801-2400
(626) 282-9950
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E24920
—
CA
Enumeration date
04/03/2007
Last updated
06/18/2008
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