Individual
MR. STEPHAN ROBERT MOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1421 OAKDALE RD, MODESTO, CA 95355-3356
(209) 527-2700
Mailing address
160 BONITA CIR, MODESTO, CA 95354-1410
(209) 499-9521
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12584
CA
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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