Gloria Jane Stevens in Upland - Procedural Dermatology

Gloria Jane Stevens - NPI 1699836288

Gloria Jane Stevens is a Procedural Dermatology in Upland, California. Gloria Jane Stevens practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Gloria Jane Stevens is 1699836288. The last update date is 2018-10-18.

Gloria Jane Stevens's current location address is 954 W Foothill Blvd Ste B, Upland, California. You can contact this provider via phone number 9099497500 and fax number 9099461133. The mailing address for Gloria Jane Stevens is 954 W Foothill Blvd Ste B, Upland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gloria Jane Stevens
Address 954 W Foothill Blvd Ste B, Upland, California
Phone Number 9099497500
Fax Number 9099461133
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1699836288
Provider Enumeration Date 2006-12-13
Last Updated Date 2018-10-18

Provider Mailing Address Detail

Address 954 W Foothill Blvd Ste B
City Upland
State California (CA)
Post Code 917863782
Phone Number 9099497500
Fax Number 9099461133

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No G058338
Definition:
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
330357267 CA CCN
330357267 CA TRI CARE
330357267 CA BLUE CROSS
330357267 CA HEALTH NET
330357267 CA UNITED HEALTH CARE
330357267 CA BLUE SHEILD
330357267 CA AETNA
330357267 CA PACIFICARE
8357422 CA --

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FAQs about Gloria Jane Stevens

What is the Gloria Jane Stevens's 1699836288?

The Gloria Jane Stevens's NPI (National Provider Identifier) Number is 1699836288. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Gloria Jane Stevens is physically located?

The Gloria Jane Stevens is physically situated at the following address: 954 W Foothill Blvd Ste B, Upland, CA, 917863782.

What is the Gloria Jane Stevens's area of specialization and corresponding taxonomy classification?

The Gloria Jane Stevens's specialty field is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their specialties.

When did Gloria Jane Stevens receive its 1699836288 assignment?

The Gloria Jane Stevens was assigned its 1699836288 on 2006-12-13, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Gloria Jane Stevens last refreshed?

The information related to the Gloria Jane Stevens, including its address, specialty, and other relevant details, was last updated on 2018-10-18.

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