John Terry Dearborn in Menlo Park - Adult Reconstructive Orthopaedic Surgery
John Terry Dearborn - NPI 1396786901
John Terry Dearborn is a Adult Reconstructive Orthopaedic Surgery in Menlo Park, California. John Terry Dearborn practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for John Terry Dearborn is 1396786901. The last update date is 2021-11-19.
John Terry Dearborn's current location address is 1706 El Camino Real Ste 101, Menlo Park, California. You can contact this provider via phone number 6503251395 and fax number 6503262019. The mailing address for John Terry Dearborn is 1706 El Camino Real Ste 101, Menlo Park, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Terry Dearborn |
|---|---|
| Address | 1706 El Camino Real Ste 101, Menlo Park, California |
| Phone Number | 6503251395 |
| Fax Number | 6503262019 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396786901 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2021-11-19 |
Provider Mailing Address Detail
| Address | 1706 El Camino Real Ste 101 |
|---|---|
| City | Menlo Park |
| State | California (CA) |
| Post Code | 940274127 |
| Phone Number | 6503251395 |
| Fax Number | 6503262019 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | G76369 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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What is the unique identifier code issued to John Terry Dearborn by the Centers for Medicare & Medicaid Services?
The John Terry Dearborn has been assigned the NPI (National Provider Identifier) 1396786901. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where John Terry Dearborn's facilities are situated?
The facilities of John Terry Dearborn are physically located at the following address: 1706 El Camino Real Ste 101, Menlo Park, CA, 940274127.
What is John Terry Dearborn's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Terry Dearborn's specialized field of practice is Adult Reconstructive Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 207Xs0114X.
On what date did the John Terry Dearborn receive the assignment of its 1396786901 from the Centers for Medicare & Medicaid Services?
The John Terry Dearborn was issued its 1396786901 by the Centers for Medicare & Medicaid Services on 2006-06-08.
As of what date were the details pertaining to John Terry Dearborn last refreshed?
The information related to the John Terry Dearborn, including its address, specialty, and other relevant details, was last updated on 2021-11-19.
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