Organization
JOHN STEVENSON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN REGIS STEVENSON D.P.M. (OWNER)
(937) 264-3150
Entity
Organization
Contact information
Practice address
8721 N MAIN ST, DAYTON, OH 45415-1331
(937) 264-3150
(937) 264-3171
Mailing address
8721 N MAIN ST, DAYTON, OH 45415-1331
(937) 264-3150
(937) 264-3171
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2629301
—
OH
Enumeration date
02/28/2008
Last updated
03/13/2009
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