Individual
MR. JOHN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7 MAIN RD N, HAMPDEN, ME 04444-1334
(207) 862-9400
(207) 862-9411
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA237
ME
363A00000X
Physician Assistant
Primary
PA333
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303790099
—
ME
Enumeration date
08/05/2006
Last updated
02/21/2014
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