Individual
DALE D STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2615 EYE ST, BAKERSFIELD, CA 93301-2006
(661) 395-3000
(661) 323-4703
Mailing address
PO BOX 82396, BAKERSFIELD, CA 93380-2396
(661) 323-5918
(661) 323-4703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G7343
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G73430
—
CA
01
—
BV786Y
WSUC MEDICARE PTAN
CA
01
—
BV786Z
SJCH RENEWED MEDICARE PTAN
CA
Enumeration date
06/30/2006
Last updated
08/18/2009
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