Individual
JIM STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.D.
Contact information
Practice address
406 S MAGNOLIA AVE, EL CAJON, CA 92020-5213
(619) 588-7000
(619) 588-1009
Mailing address
3606 ALCOTT ST, SAN DIEGO, CA 92106-1211
(619) 282-7316
(619) 241-2117
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
OMS37
CA
Other
Enumeration date
01/12/2007
Last updated
02/06/2008
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