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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 |