Organization
PACIFIC REGENERATIVE AND INTERVENTIONAL SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRICE WILLIAM BLATZ M.D., M.S. (OWNER)
(408) 440-0930
Entity
Organization
Contact information
Practice address
6080 HELLYER AVE, SUITE 100, SAN JOSE, CA 95138-1052
(408) 440-0930
(408) 440-0389
Mailing address
6080 HELLYER AVE, SUITE 100, SAN JOSE, CA 95138-1052
(408) 440-0930
(408) 440-0389
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A124037
CA
Other
Enumeration date
08/30/2016
Last updated
09/06/2016
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