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Contact Information

SUSAN E STEPHENS DIERAUF, MD
901 NEVIN AVE
KAISER RICHMOND CAMPUS
RICHMOND, CA94801
 Phone: 510-307-1500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUSAN E STEPHENS DIERAUF · (Female)

NPI Number 1205945151
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 02/25/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G 080393
  • OR License # MD 21292
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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