Individual
DR. BRUCE ROBERT STEVENS
Active
Individual
DR. BRUCE ROBERT STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101244688
VA
2084P0800X
Psychiatry Physician
34578
WI
2084P0800X
Psychiatry Physician
M-15170
ID
2084P0800X
Psychiatry Physician
MD.MD.61113530
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260029980
RR MED
—
01
—
C06115
GROUP PTAN
VA
Enumeration date
04/13/2006
Last updated
11/25/2023
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