Organization
SHARP REES-STEALY MEDICAL GROUP, INC
Active
Parent organization
SHARP REES-STEALY MEDICAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHARP REES-STEALY MEDICAL GROUP, INC
Authorized official
DR. ALAN J BIER M.D. (PRESIDENT)
(858) 262-6666
Entity
Organization
Contact information
Practice address
8010 FROST ST FL 2, SAN DIEGO, CA 92123-4284
(858) 499-2600
Mailing address
PO BOX 939087, SAN DIEGO, CA 92193-9087
(858) 262-6344
(858) 636-2032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W216
MEDICARE PTAN
CA
Enumeration date
06/04/2015
Last updated
09/24/2018
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