Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | E3685 | CA |
NPI | 1356361190 |
---|---|
Provider Name | Dr. Dennis L. Trenner |
First Address | Oroville, CA 95966-5117 |
Second Address | Oroville, CA 95966-5117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 26/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E36850 | (05) | CA |
U19109 | (02) | CA |