Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0127X | Trauma Surgeon | A156069 | CA |
NPI | 1235424706 |
---|---|
Provider Name | Nicholas Paul Rottler |
First Address | Salinas, CA 93906-3100 |
Second Address | Saint Louis, MO 63110-2539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2011 |
Last Update Date | 21/01/2021 |