Individual
ANDREW STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
DGMC, 101 BODIN CIR, FAIRFIELD, CA 94533
(707) 523-5005
Mailing address
5228 GLIDE DR, DAVIS, CA 95618-4423
(806) 407-7007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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