Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | G18591 | CA |
NPI | 1457368029 |
---|---|
Provider Name | John Burr Schlaerth |
First Address | Pasadena, CA 91109-8410 |
Second Address | Bakersfield, CA 93301-4211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 15/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A40373 | (02) | CA |