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Organization

GREGORY A STAINER MD FACS A PROFESSIONAL MEDICAL CORPORATION

Active
Other names
Southwest Eye Care and Laser Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY A STAINER M.D. (PRESIDENT)
(661) 393-2331
Entity
Organization

Contact information

Practice address
215 CHINA GRADE LOOP, BAKERSFIELD, CA 93308-1707
(661) 393-2331
(661) 393-6284
Mailing address
215 CHINA GRADE LOOP, BAKERSFIELD, CA 93308-1707
(661) 393-2331
(661) 393-6284

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
CA
207W00000X
Ophthalmology Physician
Primary
G41135
CA
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ37940Z
CA
Enumeration date
12/18/2006
Last updated
05/14/2015
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