Individual
MARK DAVID STEPHENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1885 BOB JOHNSON DR, COLORADO SPRINGS, CO 80906-4000
(719) 632-6722
(719) 632-6367
Mailing address
12424 ANGELINA DR, FALCON, CO 80831-8465
(719) 495-7328
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/08/2005
Last updated
07/08/2007
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