Organization
R L STEPHENS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY L STEPHENS M.D. (OWNER)
(304) 344-0526
Entity
Organization
Contact information
Practice address
331 LAIDLEY ST STE 204, CHARLESTON, WV 25301-1605
(304) 344-0526
(304) 342-3296
Mailing address
331 LAIDLEY ST STE 204, CHARLESTON, WV 25301-1605
(304) 344-0526
(304) 342-3296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10685
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00941590100
—
WV
Enumeration date
03/22/2012
Last updated
03/26/2012
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