Individual
CHARLES STURGEON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
265 POSADA LN, SUITE B, TEMPLETON, CA 93465-4056
(805) 434-0900
(805) 434-9260
Mailing address
504 PLAZA DR, SANTA MARIA, CA 93454-6917
(805) 739-3474
(805) 739-3982
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G50185
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB218618
MEDICARE ID
CA
05
—
ZZZ48224Z
—
CA
Enumeration date
10/03/2005
Last updated
01/11/2017
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