Individual
JEFFREY A STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 329-5655
(406) 329-5675
Mailing address
PO BOX 31001, PASADENA, CA 91110-4114
(406) 327-1919
(406) 329-2937
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
10665
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089352
—
MT
01
—
M000009936
PTAN
—
Enumeration date
08/02/2005
Last updated
03/05/2026
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