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NPI Code Detail

MEDICARE: DR. CURTIS EDWARD ROLLINS M.D., D.M.D.

MEDICARE:  DR. CURTIS EDWARD ROLLINS  M.D., D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0106XOral and Maxillofacial Pathology Dentistry2951SC
2207ZF0201XForensic Pathology Physician2005-01895NC
32084P0800XPsychiatry PhysicianG77431CA
4207R00000XInternal Medicine PhysicianG77431CA

General Provider Information

NPI Number : 1265548382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CURTIS EDWARD ROLLINS M.D., D.M.D.
Provider Business Mailing Address
First Line : 1825 CIVIC CENTER DR STE 7
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-7302
Country : US
Telephone Number : 408-985-2401
Fax Number :
Provider Business Practice Location Address
First Line : 1825 CIVIC CENTER DR STE 7
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-7302
Country : US
Telephone Number : 408-985-2401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 06/11/2015

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