Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | A125743 | CA |
NPI | 1225295165 |
---|---|
Provider Name | Dennis Scott Meredith |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Woodland, CA 95695-5169 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 12/09/2017 |