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Dr. Stephen Martin Golden

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NPI Number Detailed Information

Provider Information:

Name: Dr. Stephen Martin Golden
Gender: M
Provider License Number If Given: G 080922

NPI Information:

NPI: 1649264136
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 679 HILLCREST CIR
Vacaville, CA 95688
Phone Number: 7074467449
Fax Number:

Provider Business Practice Location Address:

Address: DAVID GRANT USAF MEDICAL CENTER 101 BODIN CIRCLE
Travis Air Force Base, CA 94535
Phone Number: 7074233369
Fax Number: 7074233363

Provider Taxonomy:

Primary: 2080N0001X
Secondary (if any):
State: CA

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