Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 039131 | GA |
NPI | 1306049440 |
---|---|
Provider Name | Dr. Tommy Eugene Howard |
First Address | Manhattan Beach, CA 90266-7042 |
Second Address | Los Angeles, CA 90073-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 22/08/2007 |