Dr. Ethan Robert Stewart
Infectious Disease
4647 Zion Ave
San Diego
, California 92120-2507
Dr. Ethan Robert Stewart
Infectious Disease
4647 Zion Ave
San Diego
, California 92120-2507
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Ethan Robert Stewart
- 4647 Zion Ave
- San Diego, CA
- Zip : 92120-2507
- Phone :
Second Address
- Dr. Ethan Robert Stewart
- 4647 Zion Ave
- San Diego, CA
- Zip : 92120-2507
- Phone : (619) 528-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 20A11993 | CA |
National Provider Identifier
| NPI | 1083989586 |
|---|---|
| Provider Name | Dr. Ethan Robert Stewart |
| First Address | San Diego, CA 92120-2507 |
| Second Address | San Diego, CA 92120-2507 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/03/2012 |
| Last Update Date | 08/11/2021 |
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.