STEPHEN P WIDER

FONTANA, CA
NPI1922175769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA11218)
Enumeration Date2006-11-29
Last Update Date2008-09-23
Business Address
STEPHEN P WIDER PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Mailing Address
STEPHEN P WIDER PA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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