Steven A Destefano M.D.

NPI 1013196021 - Family Medicine - 207Q00000X

NPI Details
NPI 1013196021
Gender Male
Enumeration Date 10/25/2007
Last Updated 10/25/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3801 W TEMPLE AVE
46
POMONA CA, 91768-2557, US
Phone (909) 869-4000
Fax (909) 869-4561
Business Location
3801 W TEMPLE AVE
46
POMONA CA, 91768-2557, US
Phone (909) 869-4000
Fax (909) 869-4561
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G48335
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According to our database, Dr. Steven A Destefano M.D. NPI is 1013196021, taxonomy code is 207Q00000X and license number is G48335, license state is located at California. Steven A Destefano M.D. physically located at 3801 W Temple Ave, Pomona CA, 91768-2557. NPI Number Steven A Destefano M.D. has the Individual type.

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1013196021 NPI number is provided on an as is basis without warranty of any kind. 1013196021 is maintained by the National Plan & Provider Enumeration System. The contents of Steven A Destefano M.D. are for informational purposes only.