Organization
KURT R WHARTON MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER D MCGETTIGAN (OFFICE MANAGER)
(925) 962-0002
Entity
Organization
Contact information
Practice address
970 DEWING AVE, SUITE 201, LAFAYETTE, CA 94549-4291
(925) 962-0002
(925) 962-0003
Mailing address
970 DEWING AVE, SUITE 201, LAFAYETTE, CA 94549-4291
(925) 962-0002
(925) 962-0003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G57090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G570900
—
CA
Enumeration date
05/16/2008
Last updated
05/16/2008
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