Traumatology Valid NPI
Organization · Orthopaedic Surgery Physician · San Rafael, CA
- NPI
- 1679656490
- Type
- Organization (Type 2)
- Primary specialty
- Orthopaedic Surgery Physician (Orthopaedic Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207X00000X
- License number
- G23690
- Enumerated
- 2006-10-23
- Last updated
- 2008-01-17
Practice location
711 D Street, Suite 102
San Rafael, CA 94901
(415) 457-7414