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Organization
J. CRAIG STEVENS MD PC
Active
Organization
J. CRAIG STEVENS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CRAIG STEVENS M.D. (PRESIDENT)
(800) 613-1580
Entity
Organization
Contact information
Practice address
750 N SYRINGA ST, SUITE 100, POST FALLS, ID 83854-5275
(800) 613-1580
Mailing address
PO BOX 353, CLARK FORK, ID 83811-0353
(208) 266-1677
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
7507
ID
Other
Enumeration date
10/10/2011
Last updated
08/13/2012
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