Individual
DR. STEPHEN TASKER IMRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 DI SALVO AVE, SUITE C, SAN JOSE, CA 95128-1717
(408) 998-4787
(408) 297-4789
Mailing address
123 DI SALVO AVE, SUITE C, SAN JOSE, CA 95128-1717
(408) 998-4787
(408) 297-4789
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C30501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7571517
—
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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