Individual
MARK T STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10706 WYNKOOP DR, GREAT FALLS, VA 22066-1606
(703) 282-9468
Mailing address
10706 WYNKOOP DR, GREAT FALLS, VA 22066-1606
(703) 282-9468
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
0101257868
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23419
STATE LICENSE
NE
Enumeration date
08/02/2006
Last updated
12/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us