Mark Stilphen M.D.

NPI 1063630630 - Internal Medicine - 207R00000X

NPI Details
NPI 1063630630
Gender Male
Enumeration Date 04/20/2007
Last Updated 12/26/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
689 TANK FARM ROAD
SUITE 220
SAN LUIS OBISPO CA, 93401-7079, US
Phone (805) 541-1177
Fax (805) 541-4973
Business Location
117 W BUNNY AVE
SANTA MARIA CA, 93458-2805, US
Phone (805) 541-1177
Fax (805) 739-3982
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G28153
Remove 1063630630 NPI Number
 

According to our database, Dr. Mark Stilphen M.D. NPI is 1063630630, taxonomy code is 207R00000X and license number is G28153, license state is located at California. Mark Stilphen M.D. physically located at 689 Tank Farm Road, San Luis Obispo CA, 93401-7079. NPI Number Mark Stilphen M.D. has the Individual type.

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1063630630 NPI number is provided on an as is basis without warranty of any kind. 1063630630 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Stilphen M.D. are for informational purposes only.