Individual
DAVID THOMAS STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
3161 WALNUT AVE, FREMONT, CA 94538-2216
(510) 796-1000
(510) 796-1050
Mailing address
141 EMBARCADERO W, APT 4319, OAKLAND, CA 94607-3719
(510) 282-1335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16421
CA
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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