Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | G42498 | CA |
NPI | 1003931304 |
---|---|
Provider Name | Dr. Roydon Glen Fredrick Steinke |
First Address | Fresno, CA 93710-5236 |
Second Address | Fresno, CA 93710-5236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 07/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A89757 | (02) | CA |