Healthcare Provider Details

I. General information

NPI: 1447270301
Provider Name (Legal Business Name): STEVEN A WHEELER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LAS TABLAS RD
TEMPLETON CA
93465-9704
US

IV. Provider business mailing address

PO BOX 605
TEMPLETON CA
93465-0605
US

V. Phone/Fax

Practice location:
  • Phone: 805-434-3500
  • Fax:
Mailing address:
  • Phone: 805-434-1375
  • Fax: 805-434-1716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG67074
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: