Individual
HEIDI ANN STEPHANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 S MAIN ST STE 100, ORANGE, CA 92868-4568
(714) 509-3914
(888) 378-5391
Mailing address
505 S MAIN ST STE 100, ORANGE, CA 92868-4568
(714) 509-3914
(888) 378-5391
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
A149320
CA
2088P0231X
Pediatric Urology Physician
MD448500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A149320
—
CA
Enumeration date
06/16/2006
Last updated
07/21/2022
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