Individual provider · Type 1 NPI
Stephen John Wagstaff, D.P.M.
Foot & Ankle Surgery Podiatrist · Greenbrae, CA
NPI number
1831196849
Active
Practice location
1321 South Eliseo Drive
Greenbrae, CA 94904
Fax (415) 925-1154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | E4439 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4439 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in Greenbrae
About NPI 1831196849
Stephen John Wagstaff, D.P.M.'s National Provider Identifier is 1831196849, issued on Jul 5, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Greenbrae, CA. The record was last updated on Feb 18, 2022.