Individual
ELISABETH SUZANNE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20500 SENECA MEADOWS PKWY STE 2400, GERMANTOWN, MD 20876-7014
(240) 912-2738
Mailing address
9910 FRANKLIN SQUARE DR # 2110, BALTIMORE, MD 21236-4902
(410) 933-5412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003435
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0003435
LICENSE
MD
Enumeration date
01/25/2007
Last updated
05/29/2018
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