Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101234824 | VA |
N | 207YS0123X | Facial Plastic Surgeon | MD2010-0117 | NM |
NPI | 1467418582 |
---|---|
Provider Name | Andrew Bruce Ribner |
First Address | Marysville, CA 95901-5670 |
Second Address | Marysville, CA 95901-5670 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 01/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A47514 | (02) |