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NPI Code Detail

MEDICARE: STEVEN MAGEE M.D.

MEDICARE: STEVEN MAGEE 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
1207Q00000XFamily Medicine PhysicianA60814CA

General Provider Information

NPI Number : 1689681496
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN MAGEE M.D.
Provider Business Mailing Address
First Line : 3400 DATA DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13350 BIG BASIN WAY
Second Line :
City : BOULDER CREEK
State : CA
Zip : 95006-9237
Country : US
Telephone Number : 831-338-6491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 10/01/2014

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