Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 40934 | CA |
NPI | 1124008024 |
---|---|
Provider Name | Dr. Robert John Frank |
First Address | Sarasota, FL 34235-3641 |
Second Address | Fort Sill, OK 73503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 08/07/2007 |