Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | G78659 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | G78659 | CA |
NPI | 1619923711 |
---|---|
Provider Name | Daniel A Spilman |
First Address | Santa Cruz, CA 95060-4126 |
Second Address | Santa Cruz, CA 95060-4126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 25/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A443680 | (05) | CA |
00G786590 | (05) | CA |
F80755 | (02) | CA |