Basic Information
Provider Information
NPI: 1760540728
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPECHT
FirstName: LINDA
MiddleName: HELENE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 975 SERENO DR
Address2:  
City: VALLEJO
State: CA
PostalCode: 945892441
CountryCode: US
TelephoneNumber: 7076511000
FaxNumber: 7076513313
Practice Location
Address1: 975 SERENO DR
Address2:  
City: VALLEJO
State: CA
PostalCode: 945892441
CountryCode: US
TelephoneNumber: 7076511000
FaxNumber: 7076513313
Other Information
ProviderEnumerationDate: 12/04/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XG 31135CAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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