Organization Name: | JEANNIE L PFLUM DO INC |
NPI Number: | 1992875405 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNIE LEE PFLUM (DOCTOR PRESIDENT) |
Mailing Address: | 1140 Sonoma Ave Suite 2a Santa Rosa |
State: | CA US |
Postal Code: | 954054817 |
Phone Number: | 7075265034 |
Fax Number: | 7075453984 |
NPI Enumeration Date: | 11/09/2006 |
NPI Last Update Date: | 07/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 20A7910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |