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Individual
DR. STEPHANIE DOUGLAS
Active
Individual
DR. STEPHANIE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2021025372
MO
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
198522
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A198522
CA
208D00000X
General Practice Physician
01084127A
IN
208D00000X
General Practice Physician
ETL-6027
MA
Other
Enumeration date
06/11/2014
Last updated
01/23/2026
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