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STEPHANIE L DEMARA M.D.
>> Anesthesiology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1003841735
Individual Registrant: STEPHANIE L DEMARA M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
3300 RENNER DR FORTUNA, CA 95540-3120 US
Tel: 707-725-3611 Fax: --
Tel: 707-725-3611 Fax: --
Contact information for business:
PO BOX 660257 BIRMINGHAM, AL 35266-0257 US
Tel: 205-979-5882 Fax: 205-979-1248
Tel: 205-979-5882 Fax: 205-979-1248
Registration Information:
NPI: 1003841735
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207L00000X | Allopathic & Osteopathic Physicians Anesthesiology | CA | 00G787720 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
