Dominic J Mintalucci in Santa Rosa - Orthopaedic Surgery

Dominic J Mintalucci - NPI 1114126869

Dominic J Mintalucci is a Orthopaedic Surgery in Santa Rosa, California. Dominic J Mintalucci practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Dominic J Mintalucci is 1114126869. The last update date is 2013-10-04.

Dominic J Mintalucci's current location address is 1405 Montgomery Dr, Santa Rosa, California. You can contact this provider via phone number 7075461922 and fax number 7075461897. The mailing address for Dominic J Mintalucci is 1405 Montgomery Dr, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dominic J Mintalucci
Address 1405 Montgomery Dr, Santa Rosa, California
Phone Number 7075461922
Fax Number 7075461897
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114126869
Provider Enumeration Date 2007-07-13
Last Updated Date 2013-10-04

Provider Mailing Address Detail

Address 1405 Montgomery Dr
City Santa Rosa
State California (CA)
Post Code 954054557
Phone Number 7075461922
Fax Number 7075461897

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No A126421
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
A126421 CA LICENSE

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FAQs about Dominic J Mintalucci

What is the Dominic J Mintalucci's 1114126869?

The Dominic J Mintalucci's NPI (National Provider Identifier) Number is 1114126869. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Dominic J Mintalucci is geographically located?

The Dominic J Mintalucci is physically situated at the following location: 1405 Montgomery Dr, Santa Rosa, CA, 954054557.

What is Dominic J Mintalucci's area of expertise and its corresponding taxonomy classification?

The Dominic J Mintalucci's field of specialization is Orthopaedic Surgery, and it falls under the taxonomy code 207X00000X, which categorizes healthcare providers based on their areas of practice.

When was the Dominic J Mintalucci's 1114126869 issued?

The Dominic J Mintalucci's 1114126869 was issued on 2007-07-13.

As of what date was the information pertaining to Dominic J Mintalucci, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Dominic J Mintalucci, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-10-04.

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