Individual
STEVEN WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7205
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7205
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C40663
CA
Other
Enumeration date
11/28/2005
Last updated
07/08/2007
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