Charles R Stevens, M.d., Apc
NPI #1780967455 in El Centro, California
Provider Information
- NPI Number
- 1780967455
- Entity Type
- Organization
- Organization Name
- Charles R Stevens, M.d., Apc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHARLES R STEVENS, A PROFESSIONAL CORPORATION
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 20, 2011
- Last Updated
- Feb 22, 2023
Practice Location
- Address
- 1665 S IMPERIAL AVE
- Address 2
- SUITE D
- City
- El Centro
- State
- California
- ZIP Code
- 92243-4253
- Phone
- (760) 482-0212
Authorized Official
- Name
- CHARLES STEVENS, M.D.
- Title
- PRESIDENT
- Phone
- (760) 482-0212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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