Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G79994 | CA |
NPI | 1023103793 |
---|---|
Provider Name | Dr. Christopher O Neubuerger |
First Address | Sacramento, CA 95816-5120 |
Second Address | Sacramento, CA 95816-5120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G82465 | (02) | CA |