Individual
DR. TERRY KULIA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2503 S AVENUE A STE 2, YUMA, AZ 85364-7174
(928) 783-0092
Mailing address
PO BOX 669, YUMA, AZ 85366-2329
(928) 345-2150
(928) 345-2151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7725
HI
207QA0505X
Adult Medicine Physician
Primary
58583
AZ
2083A0100X
Aerospace Medicine Physician
58583
AZ
2083A0100X
Aerospace Medicine Physician
7725
HI
Other
Enumeration date
09/27/2005
Last updated
06/05/2024
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