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Individual

DR. CARY C STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 AVENIDA PICO, SUITE C, SAN CLEMENTE, CA 92673-6957
(949) 542-6154
(949) 542-7154
Mailing address
1001 AVENIDA PICO, SUITE C, SAN CLEMENTE, CA 92673-6957
(949) 542-6154
(949) 542-7154

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A69557
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A69557
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A695570
CA
Enumeration date
02/23/2006
Last updated
05/09/2012
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