Doctor Name: | DR. STEVE CHRISTIAN JENSEN |
NPI Number: | 1144223793 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | E2833 |
Business Practice Address: | 780 Delnero Dr Sonora, CA - 953705223 |
Business Phone Number: | 2095332468 |
Business Fax Number: | 2095331722 |
Mailing Address: | 780 Delnero Dr, SONORA |
State: | CA |
Postal Code: | 953705223 |
Phone Number: | 2095332468 |
Fax Number: | 2095331722 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 01/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/17/2006 |
NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | E2833 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |