Provider Demographics
NPI:1053476812
Name:SAGLIO, STEPHEN DOWER (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:DOWER
Last Name:SAGLIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 SAN JACINTO DR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-1036
Mailing Address - Country:US
Mailing Address - Phone:831-754-1544
Mailing Address - Fax:831-754-2984
Practice Address - Street 1:1332 NATIVIDAD RD STE C
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3133
Practice Address - Country:US
Practice Address - Phone:831-754-1544
Practice Address - Fax:831-754-2984
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG77264207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0091130OtherMEDI-CAL
CAF93472Medicare UPIN
CAGR0091130OtherMEDI-CAL