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Individual

STEVEN L SMALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 THE CITY DR S, BUILDING 53, ROOM 204, ORANGE, CA 92868-3201
(714) 456-7352
Mailing address
101 THE CITY DR S, BUILDING 53, ROOM 204, ORANGE, CA 92868-3201
(714) 456-7352

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036100427
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036100427
IL
Enumeration date
01/16/2007
Last updated
12/13/2011
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