Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 13669 | CA |
NPI | 1437212230 |
---|---|
Provider Name | Dr. Walter Trent Saxton |
First Address | Placerville, CA 95667-4292 |
Second Address | Placerville, CA 95667-4292 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 08/07/2007 |