Kevin D Stuart, M.d A Medical Corporation | |
9460 N Name Uno Ste 130 Gilroy CA 95020-3532 | |
(408) 847-1311 | |
(408) 847-1322 |
Full Name | Kevin D Stuart, M.d A Medical Corporation |
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Speciality | Internal Medicine |
Location | 9460 N Name Uno Ste 130, Gilroy, California |
Authorized Official Name and Position | Kevin D Stuart (BUSINESS OWNER) |
Authorized Official Contact | 4088471311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kevin D Stuart, M.d A Medical Corporation 9460 N Name Uno Ste 130 Gilroy CA 95020-3532 Ph: (408) 847-1311 | Kevin D Stuart, M.d A Medical Corporation 9460 N Name Uno Ste 130 Gilroy CA 95020-3532 Ph: (408) 847-1311 |
NPI Number | 1912195561 |
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Provider Enumeration Date | 10/09/2007 |
Last Update Date | 10/09/2007 |
Medicare PECOS PAC ID | 2365334075 |
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Medicare Enrollment ID | O20040326001393 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912195561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | G71509 (California) | Primary |
Provider Name | Kevin D Stuart |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1912966185 PECOS PAC ID: 7517859234 Enrollment ID: I20040331001508 |
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