Stephen Kenton Waterbrook in Grass Valley - Surgery

Stephen Kenton Waterbrook - NPI 1558564872

Stephen Kenton Waterbrook is a Surgery in Grass Valley, California. Stephen Kenton Waterbrook practices all healthcare services and medical treatments related to Surgery. The NPI Number for Stephen Kenton Waterbrook is 1558564872. The last update date is 2022-11-15.

Stephen Kenton Waterbrook's current location address is 150 Catherine Ln, Grass Valley, California. You can contact this provider via phone number 5302722257 and fax number 5302726977. The mailing address for Stephen Kenton Waterbrook is 150 Catherine Ln, Grass Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Kenton Waterbrook
Address 150 Catherine Ln, Grass Valley, California
Phone Number 5302722257
Fax Number 5302726977
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1558564872
Provider Enumeration Date 2007-06-06
Last Updated Date 2022-11-15

Provider Mailing Address Detail

Address 150 Catherine Ln
City Grass Valley
State California (CA)
Post Code 959455719
Phone Number 5302722257
Fax Number 5302726977

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No A94355
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

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FAQs about Stephen Kenton Waterbrook

What is the unique 10-digit identifier code issued to Stephen Kenton Waterbrook by the Centers for Medicare & Medicaid Services?

The Stephen Kenton Waterbrook has been assigned the NPI (National Provider Identifier) 1558564872 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Stephen Kenton Waterbrook?

The Stephen Kenton Waterbrook is situated at 150 Catherine Ln, in the city of Grass Valley, state of CA, with the zip code 959455719.

What is Stephen Kenton Waterbrook's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stephen Kenton Waterbrook is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.

When was the Stephen Kenton Waterbrook's 1558564872 issued?

The Stephen Kenton Waterbrook's 1558564872 was issued on 2007-06-06.

As of what date were the details related to Stephen Kenton Waterbrook most recently updated or revised?

The information pertaining to Stephen Kenton Waterbrook, including its address, specialty, and other relevant details, was last updated or revised on 2022-11-15.

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