Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | G16274 | CA |
NPI | 1083798797 |
---|---|
Provider Name | Dr. Andrew George Pichler |
First Address | Carmichael, CA 95608-6332 |
Second Address | Carmichael, CA 95608-6332 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A3975.7 | (02) | CA |