Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G46864 | CA |
NPI | 1023044500 |
---|---|
Provider Name | Dr. Christopher Mallory Jobe |
First Address | Oroville, CA 95966-0040 |
Second Address | Oroville, CA 95966-6131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 24/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G468640 | (05) | CA |
A50523 | (02) |