Individual
DR. STEPHEN KENTON WATERBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 CATHERINE LN, SUITE J, GRASS VALLEY, CA 95945-5719
(530) 272-2257
(530) 272-6977
Mailing address
150 CATHERINE LN STE J, GRASS VALLEY, CA 95945-5719
(530) 269-8191
(530) 205-9023
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A94355
CA
Other
Enumeration date
06/06/2007
Last updated
11/15/2022
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