Individual provider · Type 1 NPI

Stephen Norfleet Etheredge, MD

Vascular Surgery Physician · Oakland, CA

NPI number 1770694101 Active

Practice location

365 Hawthorne Ave, Ste 103
Oakland, CA 94609-3107

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XC38647 (CA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1770694101

Stephen Norfleet Etheredge, MD's National Provider Identifier is 1770694101, issued on Aug 31, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Oakland, CA. The record was last updated on May 21, 2008.