| NPI | 1851126122 |
|---|---|
| Doing Business As | ANTHONY M. PUTNAM |
| Entity Type | Organization |
| Authorized Contact | ASHLEY TRYON Supervisor 209-956-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2025-04-07 |