Organization
PAMELA STIEFVATER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA JEAN STIEFVATER D.C. (OWNER)
(508) 385-4061
Entity
Organization
Contact information
Practice address
430 OLD BASS RIVER RD, SOUTH DENNIS, MA 02660-2724
(508) 385-4061
Mailing address
430 OLD BASS RIVER RD, SOUTH DENNIS, MA 02660-2724
(508) 385-4061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
937
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1608851
—
MA
01
—
Y39488
BLUE CROSS GROUP#
MA
Enumeration date
03/14/2007
Last updated
01/19/2012
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