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Individual

JOSEPH L STURDEVANT

Active
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Individual

JOSEPH L STURDEVANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD428120
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027610101
UNIVERA
PA
01
—
02757308
NY MEDICAL ASSISTANCE
NY
05
—
1015984860001
—
PA
01
—
1069667
W. VIRGINIA WORKERS COMP
WV
01
—
1333544
AETNA
PA
01
—
1552882
GATEWAY
PA
01
—
1861235
BLUE SHIELD
PA
01
—
186463
UNISON
PA
01
—
2655247
OH MEDICAL ASSISTANCE
OH
01
—
411353
UPMC
PA
01
—
P00339483
RR MEDICARE
PA
Enumeration date
06/14/2006
Last updated
10/10/2012
About Stedi
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