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Individual

DR. BETSY J. STEPHENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17281
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1925214
IA
01
31389
BCBS
NE
05
47068937239
NE
01
627
MIDLANDS CHOICE
NE
01
97571
BCBS
IA
Enumeration date
09/20/2006
Last updated
01/24/2013
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