Most Relevant Information
Provider Data
| NPI Number: | 1003001363 |
| Provider Name: | CHARLES RAYMOND STEVENS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207LP2900X |
| Specialty: | Anesthesiology |
| License Number: | A104563 |
Most Important Dates
| Enumeration Date: | 09/10/2007 |
| Last Updated: | 05/11/2021 |
Provider Practice Location
1665 S IMPERIAL AVE STE D
EL CENTRO
CA
922434247
Practice Location Phone/Fax
| Phone: | 7604820212 |
| Fax: | 7604820166 |
Provider Mailing Location
1665 S IMPERIAL AVE STE D
EL CENTRO
CA
922434247
Provider Mailing Phone/Fax
| Phone: | 7604820212 |
| Fax: | 7604820166 |