Individual
STEVEN EA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1300 BANCROFT AVE STE 103, SAN LEANDRO, CA 94577-5147
(510) 483-3390
(510) 394-6402
Mailing address
13847 E 14TH ST STE 203, SAN LEANDRO, CA 94578-2626
(510) 483-3390
(510) 394-6402
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E5502
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
6508
NY
Other
Enumeration date
05/07/2009
Last updated
08/23/2023
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