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Individual

DR. STEPHEN MARSMAN BRAHM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
995 ST. JOHN PL, SUITE B, HEMET, CA 92543-4435
(951) 658-2159
(951) 658-8372
Mailing address
995 ST. JOHN PLACE, SUITE B, HEMET, CA 92543-4435
(951) 658-2159
(951) 658-8372

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E29830
CA
213ES0131X
Foot Surgery Podiatrist
E29380
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E29380
CA
Enumeration date
08/31/2006
Last updated
12/09/2016
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