Walter E Stevens in Upland - Specialist

Walter E Stevens - NPI 1720058134

Walter E Stevens is a Specialist in Upland, California. Walter E Stevens practices all healthcare services and medical treatments related to Specialist. The NPI Number for Walter E Stevens is 1720058134. The last update date is 2012-06-09.

Walter E Stevens's current location address is 1330 San Bernardino Rd, Upland, California. You can contact this provider via phone number 9099815406 and fax number 9099814933. The mailing address for Walter E Stevens is 1330 San Bernardino Rd, Upland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter E Stevens
Address 1330 San Bernardino Rd, Upland, California
Phone Number 9099815406
Fax Number 9099814933
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1720058134
Provider Enumeration Date 2006-01-26
Last Updated Date 2012-06-09

Provider Mailing Address Detail

Address 1330 San Bernardino Rd
City Upland
State California (CA)
Post Code 917864928
Phone Number 9099815406
Fax Number 9099814933

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G58132
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Walter E Stevens

What is the Walter E Stevens's unique identification number?

The Walter E Stevens has been assigned the NPI (National Provider Identifier) Number 1720058134 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Walter E Stevens's physical address?

The Walter E Stevens is physically located at 1330 San Bernardino Rd, in the city of Upland, CA, with the postal code 917864928.

What is Walter E Stevens's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Walter E Stevens's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1720058134 to Walter E Stevens?

The Centers for Medicare & Medicaid Services originally issued the 1720058134 to Walter E Stevens on 2006-01-26.

As of what date were the Walter E Stevens's details last updated?

The information pertaining to the Walter E Stevens, including its address, specialty, and other details, was most recently updated on 2012-06-09.

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