Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD2009-0150 | NM |
Y | 2086S0105X | Surgery of the Hand | MD2009-0150 | NM |
NPI | 1912038449 |
---|---|
Provider Name | Philip Christopher Forno |
First Address | Santa Fe, NM 87505-4742 |
Second Address | Santa Fe, NM 87505-4742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 17/01/2013 |