Provider Demographics
NPI:1649048299
Name:CAESAR, STEWART
Entity type:Individual
Prefix:
First Name:STEWART
Middle Name:
Last Name:CAESAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 581145
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92258-1145
Mailing Address - Country:US
Mailing Address - Phone:562-896-4055
Mailing Address - Fax:
Practice Address - Street 1:44199 MONROE ST
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-3096
Practice Address - Country:US
Practice Address - Phone:760-863-8262
Practice Address - Fax:760-770-2240
Is Sole Proprietor?:No
Enumeration Date:2023-12-13
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist