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PUTUE TEH, PA

PA

Physician Assistant

NPI: 1235812264IndividualAccepts Medicare

Specialties, Licenses & Credentials

Pediatrics Physician

Pediatrics

Code: 208000000X

208000000X(CA)
Psychiatry Physician

Psychiatry & Neurology — Psychiatry

Code: 2084P0800X

2084P0800X(CA)
Internal Medicine Physician

Internal Medicine

Code: 207R00000X

207R00000X(CA)
Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

363A00000X(CA)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

390200000X(CA)

CMS Specialties

Education

OTHER

Class of 2023

Contact & Hours

Address
15230 LAKESHORE DR
CLEARLAKE, CA 95422

Quick Facts

NPI
1235812264
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
5
Locations
1
Years in Practice
3

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