Individual
KURTIS IAN AUGUSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
744 52ND STREET, SUITE 5203, OAKLAND, CA 94609
(510) 428-3319
(510) 597-7034
Mailing address
744 52ND STREET, SUITE 5203, OAKLAND, CA 94609
(510) 428-3319
(510) 597-7034
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A82763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A827630
—
CA
Enumeration date
07/02/2008
Last updated
07/02/2008
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