Individual
DR. STEPHEN DAVID SURGENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC - DEPARTMENT OF ANESTHESIOLOGY, LEBANON, NH 03756-1000
(603) 650-4642
(603) 650-0614
Mailing address
1 MEDICAL CENTER DR, DHMC - DEPARTMENT OF ANESTHESIOLOGY, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
9909
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5053
—
VT
05
—
30200040
—
NH
Enumeration date
07/12/2006
Last updated
08/12/2011
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