Individual
STEFAN R JIBODH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 S MAIN ST, DEPT OF ORTHOPEDICS, MOB 1ST FLOOR, WALNUT CREEK, CA 94596-5318
(925) 295-4130
Mailing address
1425 S MAIN ST, DEPT OF ORTHOPEDICS, MOB 1ST FLOOR, WALNUT CREEK, CA 94596-5318
(925) 295-4130
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
A104528
CA
Other
Enumeration date
08/07/2006
Last updated
12/14/2021
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