Healthcare Provider Details

I. General information

NPI: 1750596326
Provider Name (Legal Business Name): ROBERT JOHN PURCHASE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 BUSH ST #200
SAN FRANCISCO CA
94109-5999
US

IV. Provider business mailing address

2001 WINWARD WAY STE 101
SAN MATEO CA
94404-2499
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-6380
  • Fax: 415-353-6266
Mailing address:
  • Phone: 415-353-6380
  • Fax: 415-353-6266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA97653
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: