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Individual

DR. STEVEN E LISTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1562 RIALTO LN, DAVIS, CA 95618-6401
(530) 756-1619
(530) 756-4681
Mailing address
1562 RIALTO LN, DAVIS, CA 95618-6401
(530) 756-1619
(530) 756-4681

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G41191
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G411910
CA
Enumeration date
08/31/2006
Last updated
02/18/2010
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