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Organization
STEVENSON PODIATRY LLC
Active
Organization
STEVENSON PODIATRY LLC
Active
Other names
Stevenson Podiatry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYMON A. STEVENSON II DPM (OWNER)
(410) 440-7387
Entity
Organization
Contact information
Practice address
4000 ANNAPOLIS RD REAR 105, HALETHORPE, MD 21227-3611
(410) 355-3519
(410) 355-4643
Mailing address
8039 SOLLEY RD, GLEN BURNIE, MD 21060-8610
(410) 440-7387
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811996739
—
MD
Enumeration date
01/30/2019
Last updated
01/30/2019
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