Organization Name: | ROSEVILLEORTHOPEDIC GROUP A MEDICAL CORP |
NPI Number: | 1962459990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH A BUTLER (ADMINISTRATOR) |
Mailing Address: | 151 N Sunrise Ave Ste 1005 Roseville |
State: | CA US |
Postal Code: | 956612930 |
Phone Number: | 9167821217 |
Fax Number: | 9167827630 |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |