Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | G14269 | CA |
NPI | 1013929967 |
---|---|
Provider Name | Dr. Stephen Mears Nagy II |
First Address | Sacramento, CA 95819-3746 |
Second Address | Sacramento, CA 95819-3746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 30/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A39216 | (02) | CA |