Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | GFE8129 | CA |
NPI | 1255539409 |
---|---|
Provider Name | Dr. David Drake Hunt |
First Address | Saratoga, CA 95070-5345 |
Second Address | Saratoga, CA 95070-5345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 10/07/2007 |