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NPI Code Detail

MEDICARE: DEBRA LEE STEWART D.O.

MEDICARE: DEBRA LEE STEWART D.O.
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
1207V00000XObstetrics & Gynecology Physician20A7174CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083689244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA LEE STEWART D.O.
Provider Business Mailing Address
First Line : 625 34TH ST STE 100
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-2307
Country : US
Telephone Number : 833-678-2781
Fax Number : 661-368-0618
Provider Business Practice Location Address
First Line : 625 34TH ST STE 100
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-2307
Country : US
Telephone Number : 833-678-2781
Fax Number : 661-800-4318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 01/07/2022

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Directions to “ DEBRA LEE STEWART D.O.” Practice Location

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