Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | POD434 | NM |
N | 213ES0103X | Foot & Ankle Surgery | T-1555 | NM |
NPI | 1093194425 |
---|---|
Provider Name | Dr. Silas Klaver |
First Address | Yakima, WA 98902-2715 |
Second Address | Rio Rancho, NM 87124-4740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2015 |
Last Update Date | 25/02/2021 |