Individual provider · Type 1 NPI

Beth Stallman, MD

Student in an Organized Health Care Education/Training Program · Stockton, CA

NPI number 1245642016 Active

Practice location

7373 West Ln
Stockton, CA 95210-3377

Call (209) 476-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4301105470 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245642016

Beth Stallman, MD's National Provider Identifier is 1245642016, issued on May 28, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stockton, CA. The record was last updated on Dec 21, 2021.