Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080N0001X | Neonatal-Perinatal Doctor | 378985-1205 | UT |
Y | 2080N0001X | Neonatal-Perinatal Doctor | G135717 | CA |
NPI | 1013096585 |
---|---|
Provider Name | Donald Morley Null, Jr. |
First Address | Sacramento, CA 95817-2208 |
Second Address | Sacramento, CA 95817-2201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 15/07/2015 |