Individual
DR. EDWARD CRIST STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, DO
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
(814) 372-2568
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 371-2200
(814) 372-2568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS014300
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102171547
—
PA
Enumeration date
04/30/2008
Last updated
01/26/2024
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