Individual
EDWARD STUMP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 963-6311
Mailing address
PO BOX 247, RODEO, CA 94572-0247
(707) 963-6311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
CAG024978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAG024978
STATE LICENSE NUMBER
CA
Enumeration date
11/29/2005
Last updated
07/08/2007
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