Doctor Name: | JOHN DAVID TAUGHINBAUGH |
NPI Number: | 1770800526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | EFE 1382 |
Business Practice Address: | 16190 Greenwood Rd Monte Sereno, CA - 950303019 |
Business Phone Number: | 4083540032 |
Business Fax Number: | |
Mailing Address: | 16190 Greenwood Rd, MONTE SERENO |
State: | CA |
Postal Code: | 950303019 |
Phone Number: | 4083540032 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2010 |
NPI Last Update Date: | 05/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | EFE 1382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |