Individual
RYAN LEE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 363-7462
(330) 363-7679
Mailing address
PO BOX 80690, CANTON, OH 44708-0690
(330) 363-7444
(330) 363-7770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA 09093-NA
OH
Other
Enumeration date
11/16/2006
Last updated
07/13/2022
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