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NPI Code Detail

MEDICARE: MORGAN DANA SILLDORFF M.D.

MEDICARE: MORGAN DANA SILLDORFF 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
1207X00000XOrthopaedic Surgery PhysicianA127365CA

General Provider Information

NPI Number : 1366790479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN DANA SILLDORFF M.D.
Provider Business Mailing Address
First Line : 310 SANTA FE DR STE 112
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-5123
Country : US
Telephone Number : 760-642-7007
Fax Number : 760-230-1453
Provider Business Practice Location Address
First Line : 310 SANTA FE DR STE 112
Second Line :
City : ENCINITAS
State : CA
Zip : 92024-5123
Country : US
Telephone Number : 760-642-7007
Fax Number : 760-230-1453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2012
Last Update Date : 12/09/2022

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