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Individual

DR. JOHN EDWARD STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
73153 MILITARY RD, COVINGTON, LA 70435-6054
(985) 626-6133
Mailing address
45 KINGS CANYON DR, NEW ORLEANS, LA 70131-8611
(504) 394-2291

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
014325
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1301540
LA
Enumeration date
05/17/2006
Last updated
12/03/2007
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