Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A78404 | CA |
N | 207ND0101X | MOHS-Micrographic Surgeon | A78404 | CA |
N | 207NS0135X | Procedural Dermatology | A78404 | CA |
NPI | 1366452658 |
---|---|
Provider Name | Dr. David No |
First Address | Folsom, CA 95630-4893 |
Second Address | Folsom, CA 95630-4893 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 05/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H66938 | (02) |