Individual
DR. LARRY H STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13000 E 136TH ST, FISHERS, IN 46037-9478
(317) 944-7874
Mailing address
250 N SHADELAND AVE STE 635, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01036092A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100101780
—
IN
Enumeration date
05/31/2006
Last updated
06/09/2022
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