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STEPHANIE L DEMARA M.D.

>> Anesthesiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1003841735

Individual Registrant:
 STEPHANIE L DEMARA M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
3300 RENNER DR  FORTUNA, CA 95540-3120 US
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

Registration Information:
NPI: 1003841735
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207L00000XAllopathic & Osteopathic Physicians
Anesthesiology
CA00G787720

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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