MEDICARE: DR. STEPHEN FRANCIS MCCARTNEY 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	2086S0129X	Vascular Surgery Physician	GO40318	CA

General Provider Information

NPI Number	:	1760529309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN FRANCIS MCCARTNEY M.D.

Provider Business Mailing Address
First Line	:	1468 INGRAM ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23551-2596
Country	:	US
Telephone Number	:	757-836-1685
Fax Number	:

Provider Business Practice Location Address
First Line	:	1468 INGRAM ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23551-2596
Country	:	US
Telephone Number	:	757-836-1685
Fax Number	:

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2007

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