Individual
JOHN M STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, LUCY CURCI CANCER CENTER, RANCHO MIRAGE, CA 92270-3221
(760) 674-3600
(760) 674-3607
Mailing address
72421 BARBARA DR, RANCHO MIRAGE, CA 92270-4909
(760) 836-9124
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G63593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G635930
—
CA
Enumeration date
07/19/2006
Last updated
07/08/2007
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