Stephen Stevens P.A.

NPI 1740293646 - Physician Assistant - 363A00000X

NPI Details
NPI 1740293646
Gender Male
Enumeration Date 08/14/2006
Last Updated 11/13/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2101 N WATERMAN AVE
SAN BERNARDINO CA, 92404-4836, US
Phone (909) 883-8711
Fax
Business Location
2100 POWELL ST
SUITE 900
EMERYVILLE CA, 94608-1826, US
Phone (510) 350-2600
Fax (510) 879-9100
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number P51625
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According to our database, Stephen Stevens P.A. NPI is 1740293646, taxonomy code is 363A00000X and license number is P51625, license state is located at California. Stephen Stevens P.A. physically located at 2101 N Waterman Ave, San Bernardino CA, 92404-4836. NPI Number Stephen Stevens P.A. has the Individual type.

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1740293646 NPI number is provided on an as is basis without warranty of any kind. 1740293646 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Stevens P.A. are for informational purposes only.