Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | A76424 | CA |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD00040889 | WA |
NPI | 1134189822 |
---|---|
Provider Name | Mr. Richard C Rooney JR. |
First Address | Medina, WA 98039-1026 |
Second Address | Lompoc, CA 93436-3301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 10/05/2019 |