Stephen Joseph Medawar DPM

NPI 1073598603 - Podiatrist - 213ES0103X

NPI Details
NPI 1073598603
Gender Male
Enumeration Date 12/06/2005
Last Updated 06/21/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
6620 COYLE AVE
STE 202
CARMICHAEL CA, 95608-6333, US
Phone (916) 961-3434
Fax
Business Location
6620 COYLE AVE
STE 202
CARMICHAEL CA, 95608-6333, US
Phone (916) 961-3434
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E2619
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According to our database, Dr. Stephen Joseph Medawar DPM NPI is 1073598603, taxonomy code is 213ES0103X and license number is E2619, license state is located at California. Stephen Joseph Medawar DPM physically located at 6620 Coyle Ave, Carmichael CA, 95608-6333. NPI Number Stephen Joseph Medawar DPM has the Individual type.

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1073598603 NPI number is provided on an as is basis without warranty of any kind. 1073598603 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Joseph Medawar DPM are for informational purposes only.