Provider Demographics
NPI:1750633145
Name:STEIN, GARY EARL (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:EARL
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3723 RANCHO ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-4677
Mailing Address - Country:US
Mailing Address - Phone:925-954-8227
Mailing Address - Fax:925-954-8217
Practice Address - Street 1:3723 RANCHO ESTATES CT
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-4677
Practice Address - Country:US
Practice Address - Phone:925-954-8227
Practice Address - Fax:925-954-8217
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-09
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG38384207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine