Individual
STEPHEN ANTHONY WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E. EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7000
Mailing address
2350 W. EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
C34851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C348510
BLUE SHIELD
CA
05
—
00C348510
—
CA
Enumeration date
11/02/2005
Last updated
03/16/2016
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