MEDICARE: STEWART FIFE WILKEY DO, MPH

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	207Q00000X	Family Medicine Physician	20A13771	CA

General Provider Information

NPI Number	:	1821431610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEWART FIFE WILKEY DO, MPH

Provider Business Mailing Address
First Line	:	3230 WARING CT STE J
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4509
Country	:	US
Telephone Number	:	760-941-4498
Fax Number	:	760-941-6938

Provider Business Practice Location Address
First Line	:	3230 WARING CT STE J
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4509
Country	:	US
Telephone Number	:	760-941-4498
Fax Number	:	760-941-6938

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

Provider Enumeration Date	:	04/10/2013
Last Update Date	:	03/05/2026

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