Organization
CHARLES R STEVENS, M.D., APC
Active
Parent organization
CHARLES R STEVENS, A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES R STEVENS, A PROFESSIONAL CORPORATION
Authorized official
CHARLES STEVENS M.D. (PRESIDENT)
(760) 482-0212
Entity
Organization
Contact information
Practice address
1665 S IMPERIAL AVE, SUITE D, EL CENTRO, CA 92243-4253
(760) 482-0212
Mailing address
1665 S IMPERIAL AVE STE D, EL CENTRO, CA 92243-4247
(760) 482-0212
(760) 482-0166
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/20/2011
Last updated
02/22/2023
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