Stephen John Wagstaff in Greenbrae - Sports Medicine
Stephen John Wagstaff - NPI 1831196849
Stephen John Wagstaff is a Sports Medicine in Greenbrae, California. Stephen John Wagstaff practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Stephen John Wagstaff is 1831196849. The last update date is 2022-02-18.
Stephen John Wagstaff's current location address is 1321 South Eliseo Drive, Greenbrae, California. You can contact this provider via phone number 4159251150 and fax number 4159251154. The mailing address for Stephen John Wagstaff is 1321 South Eliseo Drive, Greenbrae, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen John Wagstaff |
|---|---|
| Address | 1321 South Eliseo Drive, Greenbrae, California |
| Phone Number | 4159251150 |
| Fax Number | 4159251154 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1831196849 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2022-02-18 |
Provider Mailing Address Detail
| Address | 1321 South Eliseo Drive |
|---|---|
| City | Greenbrae |
| State | California (CA) |
| Post Code | 94904 |
| Phone Number | 4159251150 |
| Fax Number | 4159251154 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | E4439 |
|
Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Stephen John Wagstaff by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen John Wagstaff has been assigned the NPI (National Provider Identifier) 1831196849. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Stephen John Wagstaff?
The Stephen John Wagstaff is physically situated at 1321 South Eliseo Drive, in the city of Greenbrae, state of CA, with the postal code 94904.
What is Stephen John Wagstaff's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephen John Wagstaff is Sports Medicine, and the taxonomy code that classifies this field of practice is 213Es0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831196849 to Stephen John Wagstaff?
The Centers for Medicare & Medicaid Services originally issued the 1831196849 to Stephen John Wagstaff on 2005-07-05.
As of what date were the Stephen John Wagstaff's details last updated?
The information pertaining to the Stephen John Wagstaff, including its address, specialty, and other details, was most recently updated on 2022-02-18.
NPI Number: 1952304818
Address: 6605 Nw 74th Ave, Miami, FL
NPI Number: 1063415685
Address: 720 S Ford Street, Lapel, IN