Stevenson, Thomas Ray

Stevenson, Thomas Ray is an individual health care provider with primary practice located at 2315 Stockton Blvd Department Of Surgery, Sacramento CA 95817-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Stevenson, Thomas Ray can be contacted via phone (916) 734-2568.

Contact Information

Primary practice address
2315 Stockton Blvd Department Of Surgery Sacramento CA 95817-2201
Phone: (916) 734-2568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X G067471 California

Profile Details

NPI number 1154303048
LBN Legal business name Stevenson, Thomas Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154303048 NPPES
California Other GR002104R MEDI-CAL

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