Stephen Norfleet Etheredge MD

NPI 1770694101 - Surgery - 2086S0129X

NPI Details
NPI 1770694101
Gender Male
Enumeration Date 08/31/2006
Last Updated 05/21/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
365 HAWTHORNE AVE
STE 103
OAKLAND CA, 94609-3107, US
Phone (510) 832-6131
Fax
Business Location
365 HAWTHORNE AVE
STE 103
OAKLAND CA, 94609-3107, US
Phone (510) 832-6131
Fax
Toxanomy
Taxonomy Code 2086S0129X
License State California
License Number C38647
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According to our database, Stephen Norfleet Etheredge MD NPI is 1770694101, taxonomy code is 2086S0129X and license number is C38647, license state is located at California. Stephen Norfleet Etheredge MD physically located at 365 Hawthorne Ave, Oakland CA, 94609-3107. NPI Number Stephen Norfleet Etheredge MD has the Individual type.

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1770694101 NPI number is provided on an as is basis without warranty of any kind. 1770694101 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Norfleet Etheredge MD are for informational purposes only.