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Individual
DALE D STEWART
Active
Individual
DALE D STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G7343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G73430
—
CA
01
—
BV786Y
WSUC MEDICARE PTAN
CA
01
—
BV786Z
SJCH RENEWED MEDICARE PTAN
CA
Enumeration date
06/30/2006
Last updated
08/18/2009
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