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NPI Code Detail

MEDICARE: DR. LEAH MARIE STEPHENS DC

MEDICARE: DR. LEAH MARIE STEPHENS DC
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
1111N00000XChiropractor33913CA

General Provider Information

NPI Number : 1811418692
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEAH MARIE STEPHENS DC
Provider Business Mailing Address
First Line : 9920 PACIFIC HEIGHTS BLVD STE 150
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4361
Country : US
Telephone Number : 515-803-1555
Fax Number :
Provider Business Practice Location Address
First Line : 9920 PACIFIC HEIGHTS BLVD STE 150
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4361
Country : US
Telephone Number : 515-803-1555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2017
Last Update Date : 01/01/2020

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Directions to “ DR. LEAH MARIE STEPHENS DC” Practice Location

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