John Daniel Stithem in Santa Rosa - Orthopedic

John Daniel Stithem - NPI 1124004429

John Daniel Stithem is a Orthopedic in Santa Rosa, California. John Daniel Stithem practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for John Daniel Stithem is 1124004429. The last update date is 2007-12-05.

John Daniel Stithem's current location address is 795 Farmers Ln, Santa Rosa, California. You can contact this provider via phone number 7075717615 and fax number 7075718601. The mailing address for John Daniel Stithem is 795 Farmers Ln, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John Daniel Stithem
Address 795 Farmers Ln, Santa Rosa, California
Phone Number 7075717615
Fax Number 7075718601
Sole Proprietor N
Credentials P.S. SCS

NPI Number Detail

NPI Number 1124004429
Provider Enumeration Date 2005-12-19
Last Updated Date 2007-12-05

Provider Mailing Address Detail

Address 795 Farmers Ln
City Santa Rosa
State California (CA)
Post Code 954056718
Phone Number 7075717615
Fax Number 7075718601

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No PT12323
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

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FAQs about John Daniel Stithem

What is the John Daniel Stithem's unique identification number?

The John Daniel Stithem has been assigned the NPI (National Provider Identifier) Number 1124004429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where John Daniel Stithem is physically located?

The John Daniel Stithem is situated at the following address: 795 Farmers Ln, Santa Rosa, CA 954056718.

What is John Daniel Stithem'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 John Daniel Stithem is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1124004429 to John Daniel Stithem?

The Centers for Medicare & Medicaid Services originally issued the 1124004429 to John Daniel Stithem on 2005-12-19.

As of what date were the details pertaining to John Daniel Stithem last refreshed?

The information related to the John Daniel Stithem, including its address, specialty, and other relevant details, was last updated on 2007-12-05.

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