Individual
MR. RICHARD ALAN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
187 VINE ST, FAIRBORN, OH 45324-3324
(937) 572-1877
Mailing address
187 VINE ST, FAIRBORN, OH 45324-3324
(937) 572-1877
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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