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Organization
STEVENSON MEDICAL SURGICAL EYE CENTER
Active
Organization
STEVENSON MEDICAL SURGICAL EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONEX DARA STEVENSON MD (MEDICAL DIRECTOR PHYSICIAN)
(985) 537-7000
Entity
Organization
Contact information
Practice address
4777 HWY 1 S, RACELAND, LA 70394
(985) 537-7000
(985) 537-7001
Mailing address
4777 HWY 1 SOUTH, RACELAND, LA 70394
(985) 537-7000
(985) 537-7001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
02476R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798894
—
LA
Enumeration date
08/31/2006
Last updated
07/21/2008
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