Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A168976 | CA |
NPI | 1336757970 |
---|---|
Provider Name | Anton Kurdin |
First Address | Richmond Hill, ONTARIO L4C 8Z5 |
Second Address | Yuba City, CA 95991-4142 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2020 |
Last Update Date | 20/07/2020 |