Stephen Glenn Waltcher M.D.

NPI 1134422991 - General Practice - 208D00000X

NPI Details
NPI 1134422991
Gender Male
Enumeration Date 12/15/2010
Last Updated 12/15/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
140 DUBOIS ST
SUITE A
SANTA CRUZ CA, 95060-2175, US
Phone (831) 457-0420
Fax
Business Location
PO BOX 62
FELTON CA, 95018-0062, US
Phone
Fax
Toxanomy
Taxonomy Code 208D00000X
License State Utah
License Number 287532-1205
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According to our database, Dr. Stephen Glenn Waltcher M.D. NPI is 1134422991, taxonomy code is 208D00000X and license number is 287532-1205, license state is located at Utah. Stephen Glenn Waltcher M.D. physically located at 140 Dubois St, Santa Cruz CA, 95060-2175. NPI Number Stephen Glenn Waltcher M.D. has the Individual type.

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1134422991 NPI number is provided on an as is basis without warranty of any kind. 1134422991 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Glenn Waltcher M.D. are for informational purposes only.