Most Relevant Information
Provider Data
| NPI Number: | 1003212697 |
| Provider Name: | DUANE STIGEN |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 13827 |
Most Important Dates
| Enumeration Date: | 11/10/2014 |
| Last Updated: | 07/05/2017 |
Provider Practice Location
838 BEACH COURT
LOTUS
CA
95651
Practice Location Phone/Fax
| Phone: | 5306267252 |
| Fax: | 5306267934 |
Provider Mailing Location
838 BEACH COURT
LOTUS
CA
95651
Provider Mailing Phone/Fax
| Phone: | 5306267252 |
| Fax: | 5306267934 |