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Individual

JAROD STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
8939 JEFFERSON HWY APT 108, BATON ROUGE, LA 70809-2419
(301) 481-9695
Mailing address
8939 JEFFERSON HWY APT 108, BATON ROUGE, LA 70809-2419

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
75270-21
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11355862850
MD
Enumeration date
04/03/2018
Last updated
07/22/2022
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