Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 32956 | CA |
NPI | 1780099259 |
---|---|
Provider Name | Dr. Nicholas Edward Cruze |
First Address | San Francisco, CA 94123-4505 |
Second Address | San Francisco, CA 94123-4505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2014 |
Last Update Date | 24/06/2014 |