# ANDREW MARC STEVENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679816078
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01074283A | IN | — |
| 207Q00000X | Family Medicine Physician | 10975428-1205 | UT | Yes |
| 207Q00000X | Family Medicine Physician | 11017415A | IN | — |

## Other

- **Enumeration date:** 04/03/2013
- **Last updated:** 08/19/2019