Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | G057473 | CA |
NPI | 1295968840 |
---|---|
Provider Name | Dr. Francis Rogers Palmer III |
First Address | Beverly Hills, CA 90211-3121 |
Second Address | Beverly Hills, CA 90211-3121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2009 |
Last Update Date | 31/08/2009 |