Individual
DR. STEPHEN JEROME ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 NORTH WATERMAN AVE, SAN BERNARDINO, CA 92404-5105
(909) 883-8611
(909) 886-1798
Mailing address
1700 NORTH WATERMAN AVE, SAN BERNARDINO, CA 92404-5105
(909) 883-8611
(909) 886-1798
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C37306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C373060
—
CA
Enumeration date
01/25/2006
Last updated
03/11/2008
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