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Individual

BENJAMIN STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
675 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3207
(870) 508-7600
Mailing address
675 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3207
(870) 508-7600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014017803
MO
207Q00000X
Family Medicine Physician
Primary
E-10630
AR

Other

Enumeration date
06/13/2014
Last updated
02/19/2019
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