Individual
ROBERT STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 CALL CT, NEW BADEN, IL 62265-2001
(618) 588-4284
Mailing address
506 CALL CT, NEW BADEN, IL 62265-2001
(618) 588-4284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN119786
GA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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