HEALTHSTAT ON-SITE CLINIC/REITER WATSONVILLE NPI 1588921761

NPI Information

HEALTHSTAT ON-SITE CLINIC/REITER WATSONVILLE is a preventive medicine/occupational environmental medicine preventive medicine in Watsonville, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. HEALTHSTAT ON-SITE CLINIC/REITER WATSONVILLE NPI is 1588921761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40 PENNY LN
SUITE 1
WATSONVILLE, CA
ZIP 95076-008
Phone: (831) 768-0412

The provider's authorized official is Warren Hutton .
The authorized official title is Coo and has the following contact phone number (704) 529-6161.

The CLIA number assigned to this NPI record is 17D1058549 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 4/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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