Individual
DR. STEPHEN WAYNE HALPERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4740 HOEN AVE, SANTA ROSA, CA 95405-7824
(707) 542-2783
(707) 542-7976
Mailing address
4740 HOEN AVE, SANTA ROSA, CA 95405-7824
(707) 542-2783
(707) 542-7976
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G30604
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091060
—
CA
Enumeration date
11/15/2006
Last updated
01/26/2010
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