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Individual

DR. STEVE SLAVA OBEREMOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
720 E LATHAM AVE, SUITE 1, HEMET, CA 92543-4371
(951) 658-9461
(951) 652-7103
Mailing address
720 E LATHAM AVE, SUITE 1, HEMET, CA 92543-4371
(951) 658-9461
(951) 652-7103

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A86584
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A86584
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95 3620366
TAX ID
05
OOA865840
CA
Enumeration date
06/16/2006
Last updated
08/19/2010
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