Individual
STEPHEN PAUL CHURCHILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT/APT
Contact information
Practice address
2945 N 11TH ST, BISMARCK, ND 58503-0514
(701) 258-7730
(701) 258-7803
Mailing address
2945 N 11TH ST, BISMARCK, ND 58503-0514
(701) 258-7730
(701) 258-7803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1063
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26174
BCBS OF ND
ND
05
—
51672
—
ND
Enumeration date
05/15/2006
Last updated
07/08/2007
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