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Individual

DR. DONALD CHARLES STEPHENS III

Active
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Individual

DR. DONALD CHARLES STEPHENS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
3628
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
3628
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000171260
UNISON
—
01
—
000000354882
ANTHEM
OH
01
—
204862812
UNITED HEALTHCARE
OH
05
—
2348372
—
OH
01
—
340976110DS
SUMMA
OH
01
—
341572960031
CARESOURCE
—
01
—
730481
BUCKEYE
OH
01
—
7949318
AETNA PPO
OH
01
—
P00191478
RAILROAD MEDICARE
OH
Enumeration date
05/26/2005
Last updated
03/19/2019
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