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DR. MICHAEL ERIC STEVENS M.D.

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1154365187

Individual Registrant:
DR. MICHAEL ERIC STEVENS M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
950 E MAIN ST BLDG B  SOMERTON, AZ 85350 US
Tel: 928-236-8001  Fax: 928-722-6113

Contact information for business:
PO BOX 617  SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001  Fax: 928-722-6113

Registration Information:
NPI: 1154365187
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
AZ29331

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
576283AZ05




HEALTH CARE JOBS AZ - Page 1



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