Doctor Name: | ANDREW S DENNISH |
NPI Number: | 1013085810 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, FACC |
License Number: | A99253 |
Business Practice Address: | 295 Posada Ln Suite A Templeton, CA - 934654055 |
Business Phone Number: | 8057828844 |
Business Fax Number: | 8057828859 |
Mailing Address: | 1941 Johnson Ave, Ste 101 SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934014140 |
Phone Number: | 8057828844 |
Fax Number: | 8057828859 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 02/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0901X |
License Number: | A99253 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Cardiology |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |