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Organization

CARL E. STEVENS, M.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARL E. STEVENS M.D. (OWNER)
(479) 236-9066
Entity
Organization

Contact information

Practice address
8309 PHOENIX AVE, FORT SMITH, AR 72903-6141
(479) 717-1171
(479) 725-2395
Mailing address
PO BOX 10411, FAYETTEVILLE, AR 72703-0042
(479) 717-1171
(479) 725-2395

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
02/25/2016
Last updated
05/04/2016
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