Putue Teh, PA

NPI #1235812264 in Clearlake, California

Provider Information

NPI Number: 1235812264
Entity Type: Individual
Name: Putue Teh, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 8, 2023
Last Updated: Aug 8, 2023

Practice Location

Address: 15230 LAKESHORE DR
City: Clearlake
State: California
ZIP Code: 95422-8107
Phone: (707) 995-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Internal Medicine	207R00000X
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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