Individual provider · Type 1 NPI

Matthew Dallas Stevenson

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

NPI number 1295198547 Active

Practice location

300 Pasteur Dr, Alway Bldg., Room M121
Stanford, CA 94305-2200

Call (650) 723-9215 Map

Mailing address

25250 Prospect Ave, Apartment #2
Loma Linda, CA 92354-3041

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1295198547

Matthew Dallas Stevenson's National Provider Identifier is 1295198547, issued on Apr 4, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stanford, CA. The record was last updated on Feb 11, 2022.