Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | G25195 | CA |
NPI | 1043379076 |
---|---|
Provider Name | Dr. Stephen Owen Dell |
First Address | San Francisco, CA 94102-2818 |
Second Address | San Francisco, CA 94102-2818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 13/04/2011 |