Organization
STEVENSON ANESTHESIA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA C STEVENSON CRNA (PRESIDENT)
(410) 819-0710
Entity
Organization
Contact information
Practice address
515 FAIRMOUNT AVE, TOWSON, MD 21286-5466
(410) 296-5300
Mailing address
29 CREAMERY LN, EASTON, MD 21601-3137
(410) 819-0710
(410) 819-0712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R059802
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
723M
MC GROUP
MD
Enumeration date
05/20/2006
Last updated
11/12/2007
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