Individual
JOHN A. STEVENSON
Active
Individual
JOHN A. STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA009
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009949515
—
AL
05
—
01787006
—
MS
01
—
P00113835
RAILROAD MEDICARE
—
Enumeration date
11/22/2005
Last updated
03/22/2013
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