Individual
BRADLEY DANIEL STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
8402 HARCOURT RD STE 125, INDIANAPOLIS, IN 46260-2094
(317) 802-2000
(317) 802-3972
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001408A
IN
363AS0400X
Surgical Physician Assistant
10001408A
IN
Other
Enumeration date
06/27/2012
Last updated
05/21/2024
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