Ian A Stine
Sports Medicine Orthopaedic Surgeon
4626 Willow Rd Suite 200
Pleasanton
, California 94588-8517
Ian A Stine
Sports Medicine Orthopaedic Surgeon
4626 Willow Rd Suite 200
Pleasanton
, California 94588-8517
(925) 463-0473
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Ian A Stine
- 4626 Willow Rd Suite 200
- Pleasanton, CA
- Zip : 94588-8517
- Fax : (925) 463-0473
- Phone : (925) 463-0470
Second Address
- Ian A Stine
- 4626 Willow Rd Suite 200
- Pleasanton, CA
- Zip : 94588-8517
- Fax : (925) 463-0473
- Phone : (925) 463-0470
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A89303 | CA |
National Provider Identifier
| NPI | 1154544468 |
|---|---|
| Provider Name | Ian A Stine |
| First Address | Pleasanton, CA 94588-8517 |
| Second Address | Pleasanton, CA 94588-8517 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2007 |
| Last Update Date | 06/03/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CP2106 | MEDICARE RAILROAD (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.