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NPI Code Detail

MEDICARE: STEVEN A WARNER MT

MEDICARE:   STEVEN A WARNER  MT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist09-303CA

General Provider Information

NPI Number : 1447487962
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN A WARNER MT
Provider Business Mailing Address
First Line : PO BOX 1711
Second Line :
City : LOS ALTOS
State : CA
Zip : 94023-1711
Country : US
Telephone Number : 650-948-1814
Fax Number :
Provider Business Practice Location Address
First Line : 4546 EL CAMINO REAL
Second Line : SUITE 270
City : LOS ALTOS
State : CA
Zip : 94022-1099
Country : US
Telephone Number : 650-948-1814
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2009
Last Update Date : 06/11/2009

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Directions to “ STEVEN A WARNER MT” Practice Location

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