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NPI Code Detail

MEDICARE: DAVID STOKKE M.S., L.AC.

MEDICARE:   DAVID  STOKKE  M.S., L.AC.
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
1171100000XAcupuncturistAC11001CA

General Provider Information

NPI Number : 1437363918
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID STOKKE M.S., L.AC.
Provider Business Mailing Address
First Line : 2421 4TH ST
Second Line :
City : BERKELEY
State : CA
Zip : 94710-2430
Country : US
Telephone Number : 510-665-7888
Fax Number : 510-534-1634
Provider Business Practice Location Address
First Line : 2421 4TH ST
Second Line :
City : BERKELEY
State : CA
Zip : 94710-2430
Country : US
Telephone Number : 510-665-7888
Fax Number : 510-534-1634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2007
Last Update Date : 07/08/2007

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Directions to “ DAVID STOKKE M.S., L.AC.” Practice Location

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