| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STEPHANIE ALGENIO-ANCIRO | 1194308700 | 2021-05-01 |
Stephanie Algenio-anciro is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1194308700. Registration indicates Stephanie Algenio-anciro is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, General Practice Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, General Practice) (Allopathic & Osteopathic Physicians, General Practice) (General Practice, ) (Primary Care/Family Planning/APRN/PA, ) (General Practice, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Stephanie Algenio-anciro MD |
| Other Provider Name | Stephanie Algenio Anciro |
| Practice Office Address | 101 BODIN CIR FAIRFIELD, CA US |
| Practice Office Telephone | 7074233000 |
| Mailing Address | 101 BODIN CIR FAIRFIELD, CA 945351809 US |
| Code | Practice | License No State |
|---|---|---|
| 208D00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians General PracticeAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians General Practice Allopathic & Osteopathic Physicians General Practice General Practice Primary Care/Family Planning/APRN/PA General Practice Allopathic & Osteopathic Physicians | 34957
NE |