Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 288700 | NY |
Y | 207X00000X | Orthopaedic Surgeon | A156721 | CA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | Q8402 | TX |
NPI | 1396030680 |
---|---|
Provider Name | Dr. Stephan Zmugg |
First Address | Oakland, CA 94611-5641 |
Second Address | Oakland, CA 94611-5641 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2011 |
Last Update Date | 21/12/2021 |