Individual
DR. DOUGLAS WAYNE STEPHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD,
Contact information
Practice address
208 W BADILLO ST, COVINA, CA 91723-1906
(626) 332-4510
(626) 332-2630
Mailing address
208 W BADILLO ST, COVINA, CA 91723-1906
(626) 332-4510
(626) 332-2630
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
08594
CA
Other
Enumeration date
07/20/2006
Last updated
02/09/2010
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