Individual
MR. STEVEN THOMAS KMUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, JD
Contact information
Practice address
2545 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 830-4062
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G065391
CA
Other
Enumeration date
05/09/2006
Last updated
03/17/2018
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