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Individual

DAVID STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO/LPO

Contact information

Practice address
4461 STATE ROUTE 159 STE D, CHILLICOTHE, OH 45601-6000
(740) 773-4021
(740) 773-4025
Mailing address
4461 STATE ROUTE 159 STE D, CHILLICOTHE, OH 45601-6000
(740) 773-4021
(740) 773-4025

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO19
OH
224P00000X
Prosthetist
Primary
LPO19
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2337840
OH
Enumeration date
03/07/2013
Last updated
03/07/2013
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