Individual
MRS. EDYTHE WOODRUFF STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 W EL PORTAL DR STE B, MERCED, CA 95348-2858
(209) 325-4897
Mailing address
105 W EL PORTAL DR STE B, MERCED, CA 95348-2858
(209) 325-4897
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A65931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A659310
—
CA
Enumeration date
07/20/2006
Last updated
09/26/2023
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