Individual
JONATHAN D STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
520 11TH AVE, SAFFORD, AZ 85546
(928) 428-1953
(928) 428-1900
Mailing address
520 11TH AVE, SAFFORD, AZ 85546
(928) 428-1953
(928) 428-1900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-0569788
TAX ID
AZ
Enumeration date
10/03/2006
Last updated
07/08/2007
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