Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 18650 | NC |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 18650 | NC |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 83434 | CA |
NPI | 1790700797 |
---|---|
Provider Name | Dr. Steven L Frick |
First Address | Palo Alto, CA 94303-3341 |
Second Address | Palo Alto, CA 94304-1601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 30/09/2016 |