STEPHEN NORFLEET ETHEREDGE MD NPI 1770694101

NPI Information

Stephen Norfleet Etheredge, MD is a vascular surgery surgery in Oakland, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Stephen Norfleet Etheredge, MD NPI is 1770694101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

365 HAWTHORNE AVE
STE 103
OAKLAND, CA
ZIP 94609-107
Phone: (510) 832-6131

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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