Doctor Name: | DR. J. DENNIS STEEN |
NPI Number: | 1144248881 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G44348 |
Business Practice Address: | 1825 Main St Susanville, CA - 961304518 |
Business Phone Number: | 5302572020 |
Business Fax Number: | 5302576566 |
Mailing Address: | Po Box 754, SUSANVILLE |
State: | CA |
Postal Code: | 961300754 |
Phone Number: | 5302572020 |
Fax Number: | 5302576566 |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1100X |
License Number: | G44348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Ophthalmic |
Taxonomy Definition: |