Thor C Gjerdrum in Santa Maria - Orthopaedic Surgery

Thor C Gjerdrum - NPI 1407830177

Thor C Gjerdrum is a Orthopaedic Surgery in Santa Maria, California. Thor C Gjerdrum practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Thor C Gjerdrum is 1407830177. The last update date is 2016-02-15.

Thor C Gjerdrum's current location address is 504 Plaza Dr, Santa Maria, California. You can contact this provider via phone number 8057393863 and fax number 8056142035. The mailing address for Thor C Gjerdrum is 504 Plaza Dr, Santa Maria, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Thor C Gjerdrum
Address 504 Plaza Dr, Santa Maria, California
Phone Number 8057393863
Fax Number 8056142035
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1407830177
Provider Enumeration Date 2005-12-05
Last Updated Date 2016-02-15

Provider Mailing Address Detail

Address 504 Plaza Dr
City Santa Maria
State California (CA)
Post Code 934546917
Phone Number 8057393863
Fax Number 8056142035

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No G16055
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
WG16055I CA MEDICARE ID
ZZZ06481Z CA BLUE SHIELD GROUP PIN
00G160550 CA --

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FAQs about Thor C Gjerdrum

What is the unique 10-digit identification code issued to Thor C Gjerdrum by the Centers for Medicare & Medicaid Services?

The Thor C Gjerdrum has been assigned the NPI (National Provider Identifier) 1407830177 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Thor C Gjerdrum is physically located?

The Thor C Gjerdrum is situated at the following address: 504 Plaza Dr, Santa Maria, CA 934546917.

What is Thor C Gjerdrum's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Thor C Gjerdrum is Orthopaedic Surgery, and the taxonomy code that classifies this field of practice is 207X00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1407830177 to Thor C Gjerdrum?

The Centers for Medicare & Medicaid Services assigned the 1407830177 to Thor C Gjerdrum on 2005-12-05.

As of what date was the information regarding Thor C Gjerdrum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thor C Gjerdrum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-15.

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