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Individual
DR. STEPHANIE EIJSINK-ROEHR
Active
Individual
DR. STEPHANIE EIJSINK-ROEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
J9010
TX
207Q00000X
Family Medicine Physician
Primary
59892
AZ
207Q00000X
Family Medicine Physician
J9010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1297749-06
—
TX
01
—
1297749-07
CSHCN
TX
01
—
8F2220
BLUE SHIELD
TX
01
—
930114197
RR/MEDICARE
TX
Enumeration date
03/27/2006
Last updated
04/09/2020
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