Individual
DR. JOHN B STEVENS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6728
(716) 632-1088
(716) 632-7842
Mailing address
30 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6728
(716) 632-1088
(716) 632-7842
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
141894-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01092891
—
NY
Enumeration date
07/31/2006
Last updated
07/09/2007
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