Organization
VPA PC
Active
Organization
VPA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY STEVENS DO (OWNER)
(248) 824-6000
Entity
Organization
Contact information
Practice address
2452 SIR BARTON WAY STE 303, LEXINGTON, KY 40509-2549
(800) 759-7291
(989) 667-8745
Mailing address
PO BOX 639295 DEPT 93394, CINCINNATI, OH 45263-9295
(800) 759-7291
(989) 667-8745
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
720325
KY
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
720325
KY
Other
Enumeration date
04/02/2009
Last updated
04/26/2024
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