Individual
DR. KEITH D STOTTLEMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4646 BROOKLYN AVE, SUITE 203, RIVERSIDE, CA 92506
(951) 788-8332
(951) 788-2880
Mailing address
PO BOX 1413, RIVERSIDE, CA 92502
(951) 788-8332
(951) 788-2880
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G36867
CA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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