Organization
JEWEL A STEVENS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEWEL A STEVENS MD (MD)
(937) 746-2813
Entity
Organization
Contact information
Practice address
300 BUSINESS PKWY, CARLISLE, OH 45005
(937) 746-2813
(937) 746-2753
Mailing address
300 BUSINESS PKWY, CARLISLE, OH 45005
(937) 746-2813
(937) 746-2753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35042214S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365144
—
OH
01
—
1316921067
NPI INDIVIDUAL
—
Enumeration date
02/01/2008
Last updated
02/01/2008
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