Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | G51162 | CA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | L7739 | TX |
NPI | 1174501340 |
---|---|
Provider Name | Dr. Stephen Gugenheim |
First Address | Napa, CA 94558-3673 |
Second Address | Napa, CA 94558-3673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2006 |
Last Update Date | 02/11/2021 |