Thomas Ray Stevenson
Plastic and Reconstructive Surgery
2315 Stockton Blvd Department Of Surgery
Sacramento
, California 95817-2201
Thomas Ray Stevenson
Plastic and Reconstructive Surgery
2315 Stockton Blvd Department Of Surgery
Sacramento
, California 95817-2201
(916) 734-2568
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Thomas Ray Stevenson
- 2315 Stockton Blvd Department Of Surgery
- Sacramento, CA
- Zip : 95817-2201
- Phone : (916) 734-2568
Second Address
- Thomas Ray Stevenson
- 2315 Stockton Blvd Department Of Surgery
- Sacramento, CA
- Zip : 95817-2201
- Phone : (916) 734-2568
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | G067471 | CA |
National Provider Identifier
| NPI | 1154303048 |
|---|---|
| Provider Name | Thomas Ray Stevenson |
| First Address | Sacramento, CA 95817-2201 |
| Second Address | Sacramento, CA 95817-2201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A79532 | (02) | CA |
| GR002104R | MEDI-CAL (01) | CA |
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.