Individual
STEPHANIE M PEVARNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
(410) 539-2227
Mailing address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
(410) 539-2227
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004357
VA
363A00000X
Physician Assistant
Primary
C0005177
MD
Other
Enumeration date
05/30/2014
Last updated
07/03/2023
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