# STEPHANIE B. CANTY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093824773
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10228 | MT | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 02/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000093675 | BCSB PIN | MT |
| 01 | — | 0057863 | MDCD PIN | MT |
| 01 | — | 118186600 | MDCD PIN | WY |
