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NPI Code Detail

MEDICARE: DR. DAN C PURTZER MD

MEDICARE: DR. DAN C PURTZER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0101XAnatomic Pathology PhysicianG561030CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2220009987OTHERRAILROAD MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043213549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAN C PURTZER MD
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 444 BRUCE ST
Second Line :
City : YREKA
State : CA
Zip : 96097-3450
Country : US
Telephone Number : 530-841-6209
Fax Number : 530-841-6234
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 04/23/2014

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