Individual
DR. KUSUM G STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 WALFORD AVE, EUREKA, CA 95503-4828
(707) 443-4869
(707) 442-5095
Mailing address
PO BOX 6630, EUREKA, CA 95502-6630
(707) 443-4869
(707) 442-5095
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A34267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A274350
—
CA
01
—
A34267
CALIFORNIA MEDICAL LIC
CA
01
—
DP522Z
MEDICARE ID
CA
Enumeration date
07/13/2005
Last updated
11/10/2021
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