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Individual

DR. RODRICK ALBERT STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACS

Contact information

Practice address
699 RURAL AVE, SUITE 104, WILLIAMSPORT, PA 17701-3246
(570) 321-3180
(570) 321-3181
Mailing address
1201 GRAMPIAN BLVD, PO BOX 3127, WILLIAMSPORT, PA 17701-1900

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD047042L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017727370011
PA
01
1276362
UNITEDHEALTHCARE
PA
01
5166004
AETNA
PA
01
698487
HIGHMARK BLUE SHIELD
PA
01
819135
FIRST PRIORITY HEALTH
PA
01
F91721
HEALTHAMERICA
PA
Enumeration date
03/09/2006
Last updated
11/30/2007
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