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Organization
KORY STOTESBERY DO, INC.
Active
Organization
KORY STOTESBERY DO, INC.
Active
Other names
SF Bay Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORY STOTESBERY DO (PRESIDENT)
(925) 322-0418
Entity
Organization
Contact information
Practice address
1501 N BROADWAY, SUITE 200, WALNUT CREEK, CA 94596-4296
(925) 322-0418
Mailing address
1501 N BROADWAY, SUITE 200, WALNUT CREEK, CA 94596-4296
(925) 322-0418
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
20A12798
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
20A12798
CA
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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