Individual
STEPHEN LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1311 CAMERON AVE, LEWIS CENTER, OH 43035-9662
(614) 781-8808
Mailing address
1311 CAMERON AVE, LEWIS CENTER, OH 43035-9662
(614) 781-8808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-04968
OH
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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