Doctor Name: | THOMAS STEFFORA |
NPI Number: | 1154588523 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | REG. ORTHOPEDIC TECH |
License Number: | |
Business Practice Address: | 640 Misty Glen Pl Nipomo, CA - 934445746 |
Business Phone Number: | 8059296908 |
Business Fax Number: | 8059296909 |
Mailing Address: | 640 Misty Glen Pl, NIPOMO |
State: | CA |
Postal Code: | 934445746 |
Phone Number: | 8059296908 |
Fax Number: | 8059296909 |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |