Dr. Stephanie M. Eden, MD
Emergency Medicine in Vallejo, CA. Individual provider (NPI-1).
NPI number1609892017
StatusActive
Last updated in NPPESDec 9, 2021
Details
- NPI
- 1609892017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie M. Eden
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2006
- Last updated
- Dec 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | A93354 | CA | Yes |
Practice location
975 Sereno DrC/O Emergency Services
Vallejo, CA 94589-2441
Phone 707-651-1030
Mailing address
975 Sereno DrC/O Emergency Services
Vallejo, CA 94589-2441
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