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Physician Compare National (NPI:1215953260)

HEALTHCARE PROVIDER: PATRICK JOHN PRITZL PT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1215953260
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3870753007
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120509000598
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name PRITZL
Individual professional last name
Provider First Name PATRICK
Individual professional first name
Provider Middle Name JOHN
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1983
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 31952 DEL OBISPO ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 200
Group Practice or individual's line 2 address
City SAN JUAN CAPISTRANO
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 926753124
Group Practice or individual's zip code (9 digits when available)
Phone Number 9492401016
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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