Provider Demographics
NPI:1508137704
Name:SITZMAN, STUART T (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:T
Last Name:SITZMAN
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 1:35870 ROSEMONT DR
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-2704
Mailing Address - Country:US
Mailing Address - Phone:760-360-7726
Mailing Address - Fax:
Practice Address - Street 1:35870 ROSEMONT DR
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-2704
Practice Address - Country:US
Practice Address - Phone:760-360-7726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGFE17936207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology