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Stephen Erwin Prover, MD
Specialist in Torrance, California
NPI 1902860539

Stephen Erwin Prover is a Specialist based in Torrance, CA. Stephen Erwin Prover practices in Torrance, CA and has the professional credentials of MD. The NPI Number for Stephen Erwin Prover is 1902860539 and holds a License No. A034057 (California).

The current practice location address for Stephen Erwin Prover is 23326 Hawthorne Blvd, Torrance, CA and can be reached out via phone at 310-373-0527 and via fax at 310-373-6915.

Location: 23326 Hawthorne Blvd, Torrance, CA, 90505-3725
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902860539
Provider Name
Stephen Erwin Prover
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
23326 Hawthorne Blvd, Torrance, CA, 90505-3725
Phone Number
310-373-0527
Fax Number
310-373-6915
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W9172 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
23326 Hawthorne Blvd
City
Torrance
State
California
Zip
90505-3725
Phone Number
310-373-0527
Fax Number
310-373-6915
person
Provider Business Mailing Address Details
Address
23326 Hawthorne Blvd
City
Torrance
State
California
Zip
90505-3725
Phone Number
310-373-0527
Fax Number
310-373-6915
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A034057 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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