Stephen R Prevost in Pacifica - General Practice

What is the unique 10-digit identifier code assigned to Stephen R Prevost by the Centers for Medicare & Medicaid Services?

The Stephen R Prevost has been issued the NPI (National Provider Identifier) 1306064928 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Stephen R Prevost's facilities are geographically located?

The facilities of Stephen R Prevost are physically situated at the following location: 205 Rockaway Beach Ave, Pacifica, CA, 940443262.

What is Stephen R Prevost's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen R Prevost's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1306064928 to Stephen R Prevost?

The Centers for Medicare & Medicaid Services assigned the 1306064928 to Stephen R Prevost on 2007-04-20.

When was the information related to Stephen R Prevost most recently updated or refreshed?

The details pertaining to the Stephen R Prevost, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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