Otto Evans Stallworth in Santa Ana - Anesthesiology

Otto Evans Stallworth - NPI 1639133747

Otto Evans Stallworth is a Anesthesiology in Santa Ana, California. Otto Evans Stallworth practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Otto Evans Stallworth is 1639133747. The last update date is 2007-12-29.

Otto Evans Stallworth's current location address is 210 N Tustin Ave, Santa Ana, California. You can contact this provider via phone number 8008837243 and fax number 7146471245. The mailing address for Otto Evans Stallworth is 210 N Tustin Ave, Santa Ana, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Otto Evans Stallworth
Address 210 N Tustin Ave, Santa Ana, California
Phone Number 8008837243
Fax Number 7146471245
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1639133747
Provider Enumeration Date 2006-04-14
Last Updated Date 2007-12-29

Provider Mailing Address Detail

Address 210 N Tustin Ave
City Santa Ana
State California (CA)
Post Code 927053807
Phone Number 8008837243
Fax Number 7146471245

Provider's Primary Taxonomy Detail

Speciality Anesthesiology
Taxonomy 207L00000X
Licence No C33769
Definition:
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00C337690 CA --

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FAQs about Otto Evans Stallworth

What is the unique 10-digit identification code issued to Otto Evans Stallworth by the Centers for Medicare & Medicaid Services?

The Otto Evans Stallworth has been assigned the NPI (National Provider Identifier) 1639133747 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Otto Evans Stallworth is geographically located?

The Otto Evans Stallworth is physically situated at the following location: 210 N Tustin Ave, Santa Ana, CA, 927053807.

What is Otto Evans Stallworth's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Otto Evans Stallworth is Anesthesiology, and the taxonomy code that classifies this field of practice is 207L00000X.

On what date did the Otto Evans Stallworth receive its 1639133747 assignment from the Centers for Medicare & Medicaid Services?

The Otto Evans Stallworth was assigned its 1639133747 by the Centers for Medicare & Medicaid Services on 2006-04-14.

As of what date were the details pertaining to Otto Evans Stallworth last refreshed?

The information related to the Otto Evans Stallworth, including its address, specialty, and other relevant details, was last updated on 2007-12-29.

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