Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | 2951 | SC |
Y | 207R00000X | Internist | G77431 | CA |
Y | 111NI0900X | Internist | G77431 | CA |
NPI | 1265548382 |
---|---|
Provider Name | Dr. Curtis Edward Rollins |
First Address | Santa Clara, CA 95050-7302 |
Second Address | Santa Clara, CA 95050-7302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 11/06/2015 |