Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A90190 | CA |
NPI | 1396706974 |
---|---|
Provider Name | Dr. Michael Duane Pinckney |
First Address | San Francisco, CA 94108-4502 |
Second Address | San Francisco, CA 94108-4502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 01/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I46090 | (02) | CA |