Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G32258 | CA |
NPI | 1033145602 |
---|---|
Provider Name | Landrus L Pfeffinger |
First Address | Sonoma, CA 95476-1964 |
Second Address | Lafayette, CA 94549-4579 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 15/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A45077 | (02) | CA |