Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | G81951 | CA |
NPI | 1003928243 |
---|---|
Provider Name | Dr. Barbara Conner-Andersen |
First Address | Burlingame, CA 94010-3103 |
Second Address | Burlingame, CA 94010-3103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B76437 | (02) | CA |