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Individual

STANLEY A KALLER

Active
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Individual

STANLEY A KALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A3703
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX37030
—
CA
01
—
010054114
MEDICARE RAIL ROAD PIN
CA
01
—
020A37030
BLUE SHIELD
CA
01
—
20A3703
BCBS
CA
01
—
B005
CHAMPUS
CA
Enumeration date
07/29/2005
Last updated
12/30/2009
About Stedi
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