Organization
STEPHEN A VANNUCCI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ANTHONY VANNUCCI MD (OWNER)
(530) 342-3686
Entity
Organization
Contact information
Practice address
251 COHASSET RD, SUITE 230, CHICO, CA 95926-2241
(530) 342-3686
(530) 879-3040
Mailing address
251 COHASSET RD, SUITE 240, CHICO, CA 95926-2241
(530) 342-3686
(530) 879-3040
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A71303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A713030
—
CA
Enumeration date
08/16/2007
Last updated
08/16/2007
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