Whalio Doctors

NPI 1780967455

Charles R Stevens, M.D., Apc

Organisation Non-Pharmacy Dispensing Site El Centro, CA

Practice location

Address
1665 S Imperial Ave Suite D, El Centro, CA 92243-4253
Phone
(760) 482-0212
Mailing address
1665 S Imperial Ave STE D, El Centro, CA 92243-4247

Authorised official

Name
Charles Stevens
Title
President
Phone
(760) 482-0212

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X

Registry record

NPI
1780967455
Entity type
Organization
NPI issued
20 Sep 2011
Record last updated
22 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.