Organization
STEVENSON PODIATRY LLC
Active
Other names
Stevenson Podiatry LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYMON A. STEVENSON II DPM (OWNER)
(410) 440-7387
Entity
Organization
Contact information
Practice address
4000 ANNAPOLIS RD REAR 105, HALETHORPE, MD 21227-3611
(410) 355-3519
(410) 355-4643
Mailing address
8039 SOLLEY RD, GLEN BURNIE, MD 21060-8610
(410) 440-7387
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811996739
—
MD
Enumeration date
01/30/2019
Last updated
01/30/2019
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