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Individual

JAMES C STEVENS

Active
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Individual

JAMES C STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
01033527A
IN
2084N0400X
Neurology Physician
Primary
01033527A
IN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
01033527A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020007659
RR MEDICARE
IN
05
0667603
OH
05
100096030
IN
05
2717865
MI
Enumeration date
07/07/2005
Last updated
07/27/2023
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