Individual
JUSTIN STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3909
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3909
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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