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NPI Code Detail

MEDICARE: STEVEN JOHN VILTER M.D.

MEDICARE: STEVEN JOHN VILTER M.D.
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
1207Q00000XFamily Medicine Physician4127AK
2207Q00000XFamily Medicine PhysicianG50117CA

General Provider Information

NPI Number : 1558318857
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN JOHN VILTER M.D.
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 855-771-0335
Fax Number :
Provider Business Practice Location Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 800-470-0071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 07/09/2015

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