Individual
DEANNA JENDE STEVENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1462 MARION WALDO RD, MARION, OH 43302-7422
(740) 389-5418
(740) 389-5410
Mailing address
1462 MARION WALDO RD, MARION, OH 43302-7422
(740) 389-5418
(740) 389-5410
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-07-9831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000295092
ANTHEM BC/BS
—
01
—
0007818484
AETNA
—
01
—
0802174
UNITED HEALTHCARE
—
05
—
2408817
—
OH
01
—
P0031063
RAILROAD MEDICARE
—
Enumeration date
02/28/2006
Last updated
07/08/2007
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