Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | G37915 | CA |
NPI | 1356364103 |
---|---|
Provider Name | Dr. Gary A Schneiderman |
First Address | Sacramento, CA 95827-2539 |
Second Address | Sacramento, CA 95816-5616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 22/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G379150 | (05) | CA |
A47285 | (02) | CA |