Dr. Bradley Derek Stauber
Interventional Cardiology
6347 Coyle Ave
Carmichael
, California 95608-0438
Dr. Bradley Derek Stauber
Interventional Cardiology
6347 Coyle Ave
Carmichael
, California 95608-0438
(916) 967-0367
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About
Features
Specialties
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- Dr. Bradley Derek Stauber
- 6347 Coyle Ave
- Carmichael, CA
- Zip : 95608-0438
- Fax : (916) 967-0367
- Phone : (916) 967-4278
Second Address
- Dr. Bradley Derek Stauber
- 6347 Coyle Ave
- Carmichael, CA
- Zip : 95608-0438
- Fax : (916) 967-0367
- Phone : (916) 967-4278
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RI0011X | Interventional Cardiology | 20A14013 | CA |
National Provider Identifier
| NPI | 1083980643 |
|---|---|
| Provider Name | Dr. Bradley Derek Stauber |
| First Address | Carmichael, CA 95608-0438 |
| Second Address | Carmichael, CA 95608-0438 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2012 |
| Last Update Date | 26/04/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.