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Individual

MICHAEL F. STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 PARK ST, BOWLING GREEN, KY 42102-9577
(270) 745-1467
(270) 745-1156
Mailing address
1287 RIVER BEND RD, SCOTTSVILLE, KY 42164-9434
(270) 303-1581

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19928
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
759045
AZ
01
AZ0728150
BLUECROSS BLUESHIELD
AZ
Enumeration date
02/08/2006
Last updated
07/08/2010
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