Individual
DR. BRADLEY DEREK STAUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6555 COYLE AVE STE 280, CARMICHAEL, CA 95608-0302
(916) 536-3560
(916) 536-3567
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
20A14013
CA
Other
Enumeration date
03/28/2012
Last updated
12/01/2022
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