Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A88501 | CA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | A88501 | CA |
NPI | 1285770487 |
---|---|
Provider Name | Dr. Vernon Franklin Sechriest II |
First Address | San Diego, CA 92111-3738 |
Second Address | San Diego, CA 92111-3738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 04/02/2014 |