Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | A116140 | CA |
NPI | 1346448057 |
---|---|
Provider Name | Sara Pittenger Reid |
First Address | San Ramon, CA 94583-4416 |
Second Address | San Ramon, CA 94583-4416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 22/11/2021 |