Individual
DONALD E STOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1617 N CALIFORNIA ST STE 1D, STOCKTON, CA 95204
(209) 948-1234
Mailing address
1617 N CALIFORNIA ST STE 1D, STOCKTON, CA 95204-6117
(209) 579-5628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21190
OK
2086S0102X
Surgical Critical Care Physician
21190
OK
2086S0127X
Trauma Surgery Physician
21190
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
21190
OK
Other
Enumeration date
03/11/2006
Last updated
06/06/2019
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