Provider Demographics
NPI:1265605281
Name:ZWEIG, STEPHEN MORTON
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MORTON
Last Name:ZWEIG
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:S.
Other - Middle Name:MORTON
Other - Last Name:ZWEIG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-0220
Mailing Address - Country:US
Mailing Address - Phone:760-328-9688
Mailing Address - Fax:
Practice Address - Street 1:15 LEDGESTONE LN
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1982
Practice Address - Country:US
Practice Address - Phone:760-328-9688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAFE24453174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist