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Individual
AUDREY E STECK
Active
Individual
AUDREY E STECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101050287
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376501403
—
VA
05
—
89066U7
—
NC
01
—
P00111365
RR MEDICARE
VA
Enumeration date
05/01/2006
Last updated
01/22/2014
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