Individual
ROBERT ANTHONY STEPHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 INDIAN CREEK RD, TYONEK, AK 99682
(907) 583-2461
(907) 583-2115
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-8901
(907) 729-6353
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
04/10/2023
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