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Individual

DR. CHARLES EUGENE STEWART IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11370 ANDERSON ST, STE 2100, LOMA LINDA, CA 92354-3450
(909) 558-8558
Mailing address
54701 FILE NUMBER, LOS ANGELES, CA 90074-4701
(909) 558-3111

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A78669
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A786690
CA
Enumeration date
05/10/2006
Last updated
09/24/2007
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