Provider Demographics
NPI:1598839771
Name:VETTER, STEVEN M (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:VETTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1095 LOS PALOS DRIVE
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3916
Mailing Address - Country:US
Mailing Address - Phone:831-775-0205
Mailing Address - Fax:831-775-0206
Practice Address - Street 1:966 CASS STREET
Practice Address - Street 2:SUITE 250
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4545
Practice Address - Country:US
Practice Address - Phone:831-649-4000
Practice Address - Fax:831-649-0268
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA71599207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A715990Medicaid
CAP00263074OtherMEDICARE RAILROAD
CAI07774Medicare UPIN
CA00A715990Medicaid