Provider Demographics
NPI:1457411050
Name:HOSEA, STEPHEN WAYNE (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:WAYNE
Last Name:HOSEA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 50706
Mailing Address - Street 2:COMPLET PRACTICE RESOURCE
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93150-0706
Mailing Address - Country:US
Mailing Address - Phone:805-963-3757
Mailing Address - Fax:805-564-3332
Practice Address - Street 1:320 W PUEBLO ST
Practice Address - Street 2:ROOM 6 S06
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4311
Practice Address - Country:US
Practice Address - Phone:805-682-3610
Practice Address - Fax:805-682-3050
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2012-11-07
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Provider Licenses
StateLicense IDTaxonomies
CAG45763207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEE667AMedicare PIN