Individual
DR. ROGER STEVENSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6410 ROCKLEDGE DR, STE 200, BETHESDA, MD 20817-1830
(301) 897-5301
(301) 564-4289
Mailing address
11808 HUNTING RIDGE CT, POTOMAC, MD 20854-2151
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0020535
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122018
AETNA
MD
01
—
12470003
BCBS
MD
01
—
22168
MDIPA
MD
05
—
308911800
—
MD
01
—
493860
NCPPO
MD
Enumeration date
06/14/2005
Last updated
05/09/2013
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