MEDICARE: DR. CHRISTOPHER STEPHENSON M.D.

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
1	208100000X	Physical Medicine & Rehabilitation Physician	PENDING	CA

General Provider Information

NPI Number	:	1558342345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER STEPHENSON M.D.

Provider Business Mailing Address
First Line	:	3000 Q ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-7058
Country	:	US
Telephone Number	:	916-733-3373
Fax Number	:	916-733-3462

Provider Business Practice Location Address
First Line	:	3000 Q ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95816-7058
Country	:	US
Telephone Number	:	916-733-3373
Fax Number	:	916-733-3462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	02/28/2012

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