Stefan R Jibodh in Walnut Creek - Adult Reconstructive Orthopaedic Surgery
Stefan R Jibodh - NPI 1508875642
Stefan R Jibodh is a Adult Reconstructive Orthopaedic Surgery in Walnut Creek, California. Stefan R Jibodh practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for Stefan R Jibodh is 1508875642. The last update date is 2021-12-14.
Stefan R Jibodh's current location address is 1425 S Main St, Walnut Creek, California. You can contact this provider via phone number 9252954130. The mailing address for Stefan R Jibodh is 1425 S Main St, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefan R Jibodh |
|---|---|
| Address | 1425 S Main St, Walnut Creek, California |
| Phone Number | 9252954130 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1508875642 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 1425 S Main St |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945965318 |
| Phone Number | 9252954130 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | A104528 |
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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 Stefan R Jibodh's unique identification number?
The Stefan R Jibodh has been assigned the NPI (National Provider Identifier) Number 1508875642 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Stefan R Jibodh?
The Stefan R Jibodh is physically situated at 1425 S Main St, in the city of Walnut Creek, state of CA, with the postal code 945965318.
What is Stefan R Jibodh's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stefan R Jibodh is Adult Reconstructive Orthopaedic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Xs0114X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1508875642 to Stefan R Jibodh?
The Centers for Medicare & Medicaid Services originally issued the 1508875642 to Stefan R Jibodh on 2006-08-07.
When was the information regarding Stefan R Jibodh, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stefan R Jibodh, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-14.
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