Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | G57432 | CA |
N | 208200000X | Surgeon | G57432 | CA |
N | 208600000X | Surgeon | G57432 | CA |
NPI | 1295719284 |
---|---|
Provider Name | Dr. Steven D. Colquhoun |
First Address | Sacramento, CA 95817-2201 |
Second Address | Sacramento, CA 95817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 31/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A53285 | (02) | CA |