Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | A90913 | CA |
NPI | 1306957584 |
---|---|
Provider Name | Stephen M Hankins |
First Address | Sacramento, CA 95827-2539 |
Second Address | Roseville, CA 95661-3087 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 20/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A909130 | (05) | CA |
I36272 | (02) |