Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | G63444 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | G63444 | CA |
NPI | 1003883356 |
---|---|
Provider Name | Robert Scott Forster |
First Address | Pleasanton, CA 94566-0138 |
Second Address | Castro Valley, CA 94546-4002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 24/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E24994 | (02) |