Individual
STEPHAN M MAGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
295 W CROMWELL AVE, SUITE 102, FRESNO, CA 93711-6167
(559) 493-5020
(559) 492-3569
Mailing address
295 W CROMWELL AVE, SUITE 102, FRESNO, CA 93711-6167
(559) 493-5020
(559) 492-3569
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
04/20/2015
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