Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G62346 | CA |
NPI | 1093731622 |
---|---|
Provider Name | Christopher R Damon |
First Address | Sacramento, CA 95827-2539 |
Second Address | Yuba City, CA 95991-5077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 18/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G623460 | (05) | CA |
F37834 | (02) |