NPI | 1528100690 |
---|---|
Professional Name | TED RAYMOND STEFANI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 46395) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93300) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2021-06-14 |