Marlise Steward, | |
3100 Telegraph Ave, Oakland, CA 94609-3239 | |
(800) 607-6377 | |
Not Available |
Full Name | Marlise Steward |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3100 Telegraph Ave, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083263958 | NPI | - | NPPES |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Marlise Steward, 3100 Telegraph Ave, Oakland, CA 94609-3239 Ph: (800) 607-6377 | Marlise Steward, 3100 Telegraph Ave, Oakland, CA 94609-3239 Ph: (800) 607-6377 |
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