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Individual

DR. STEPHEN GLENN WALTCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5858 EMPIRE GRADE, SANTA CRUZ, CA 95060-9603
(208) 721-2868
(831) 208-2078
Mailing address
PO BOX 62, FELTON, CA 95018-0062

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G88413
CA

Other

Enumeration date
12/15/2010
Last updated
12/09/2023
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