Individual
DR. JOHN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1911 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4131
(805) 543-5353
Mailing address
DEPT LA LOCK BOX #24757, PASADENA, CA 91185-4690
(805) 783-1020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A155161
CA
Other
Enumeration date
04/05/2016
Last updated
07/27/2020
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