Organization
JACK STEWART MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK O STEWART MD (PRESIDENT)
(714) 361-6600
Entity
Organization
Contact information
Practice address
1010 W LA VETA AVE STE 750, ORANGE, CA 92868-4312
(714) 361-6600
(714) 919-8804
Mailing address
PO BOX 4068, ORANGE, CA 92863-4068
(714) 866-1047
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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