Individual
DR. JAMES ERNEST STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1214 E NATIONAL AVE, 90A, BRAZIL, IN 47834-2700
(812) 442-2900
Mailing address
3747 W COUNTY ROAD 600 N, BRAZIL, IN 47834-7434
(812) 448-2024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028695
IN
207RG0100X
Gastroenterology Physician
01028695
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252210
—
IN
Enumeration date
09/15/2006
Last updated
05/18/2011
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