Individual
DR. JOSEPH KURT BIVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 W LEGION RD STE 300, BRAWLEY, CA 92227
(209) 956-7725
(760) 351-4949
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G60000
CA
208600000X
Surgery Physician
G60000
CA
Other
Enumeration date
05/30/2007
Last updated
09/20/2019
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