Basic Information
| Provider Information | |||||||||
| NPI: | 1417197039 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ORTHOPEDIC HOSPITALISTS OF AUBURN, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 79695 | ||||||||
| Address2: | |||||||||
| City: | CITY OF INDUSTRY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917169695 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304703700 | ||||||||
| FaxNumber: | 3304977940 | ||||||||
| Practice Location | |||||||||
| Address1: | 202 N DIVISION ST | ||||||||
| Address2: | |||||||||
| City: | AUBURN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980014939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2533332535 | ||||||||
| FaxNumber: | 2358042805 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/22/2009 | ||||||||
| LastUpdateDate: | 04/19/2011 | ||||||||
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| AuthorizedOfficialLastName: | GAGLIARDI | ||||||||
| AuthorizedOfficialFirstName: | MARTIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 8668855522 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.