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Beth Stallman, M.D.

Student in an Organized Health Care Education/Training Program in Stockton, CA. Individual provider (NPI-1).

NPI number1245642016
StatusActive
Last updated in NPPESDec 21, 2021

Details

NPI
1245642016
Entity type
Individual (NPI-1)
Name
Beth Stallman
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 28, 2014
Last updated
Dec 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program4301105470MIYes

Practice location

7373 West Ln
Stockton, CA 95210-3377

Phone 209-476-2000

Mailing address

7373 West Ln
Stockton, CA 95210-3377

Phone 209-476-2000

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