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Organization
STEPHEN J HALPERN & JACK WATSON MDS
Active
Organization
STEPHEN J HALPERN & JACK WATSON MDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN J HALPERN (OWNER)
(831) 425-0420
Entity
Organization
Contact information
Practice address
550A WATER ST, SANTA CRUZ, CA 95060
(831) 425-0420
(831) 425-0185
Mailing address
550A WATER ST, SANTA CRUZ, CA 95060
(831) 425-0420
(831) 425-0185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A8853
CA
207Q00000X
Family Medicine Physician
Primary
A22837
CA
207Q00000X
Family Medicine Physician
A65310
CA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
A88228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100850
—
CA
Enumeration date
09/01/2006
Last updated
09/04/2007
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