Individual
DR. GARY R STIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4475
(909) 558-0214
Mailing address
55799 FILE NUMBER, LOS ANGELES, CA 90074-5799
(800) 326-6223
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G52843
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
G52843
CA
207R00000X
Internal Medicine Physician
G52843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G528430
—
CA
Enumeration date
07/26/2006
Last updated
12/22/2017
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