Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | A168928 | CA |
NPI | 1750709242 |
---|---|
Provider Name | Abby Mccain Howenstein |
First Address | Sacramento, CA 95817-2215 |
Second Address | Salt Lake City, UT 84108-1200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2014 |
Last Update Date | 16/09/2020 |