Provider Information for 1932466265
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STEPHEN SPIEGEL
Sex: Male
NPI: 1932466265
Last Updated: 2012-04-11
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1932466265 | ||||||||
| Enumeration Date | 2012-04-11 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 884 EMILY ST TURLOCK, CA 95380-6093 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 884 EMILY ST TURLOCK, CA 95380-6093 United States Phone: 209-262-0181 | Fax: | ||||||||
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