Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G51159 | CA |
NPI | 1033175187 |
---|---|
Provider Name | Dr. Scott Thomas Gherini |
First Address | Ukiah, CA 95482-2230 |
Second Address | Ukiah, CA 95482-5300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 10/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A82993 | (02) | CA |