Individual
STEPHEN M KRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
528 NAUTILUS ST, LA JOLLA, CA 92037-6138
(858) 454-3161
(858) 459-2442
Mailing address
528 NAUTILUS ST, LA JOLLA, CA 92037-6138
(858) 454-3161
(858) 459-2442
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G29780
CA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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