Individual
CAMERON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOCO, BOCP
Contact information
Practice address
1760 CHICAGO AVE STE L21, RIVERSIDE, CA 92507-2326
(517) 827-0009
(877) 310-1729
Mailing address
1760 CHICAGO AVE STE L21, RIVERSIDE, CA 92507-2326
(909) 573-5690
(877) 310-1729
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
08/23/2019
Last updated
02/26/2024
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