Individual provider · Type 1 NPI

Andrew Stephens

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

NPI number 1609424175 Active

Practice location

Dgmc, 101 Bodin Cir
Fairfield, CA 94533

Call (707) 523-5005 Map

Mailing address

5228 Glide Dr
Davis, CA 95618-4423

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 1609424175

Andrew Stephens's National Provider Identifier is 1609424175, issued on Aug 28, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairfield, CA. The record was last updated on Aug 28, 2019.