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General NPI Number Information
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NPI Number | 1881883197
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Entity Type | Organization
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Legal Business Name | THOMAS STEWART MD INC
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 6161 CLARK RD STE 6
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City | PARADISE
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State | CA
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Zip | 95969-4164
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Country | US
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Telephone | 530-877-9925
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Fax | 530-877-7510
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Provider Business Mailing Address
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Address Line | 6161 CLARK RD STE 6
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City | PARADISE
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State | CA
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Zip | 95969-4164
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Country | US
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Telephone | 530-877-9925
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Fax | 530-877-7510
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS ALLAN STEWART
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Credential | M.D.
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Telephone | 530-877-9925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 00A306950
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License Number State | CA
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