Individual
DR. STEPHEN EXTERKAMP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
307 BOATNER RD, 96TH MEDICAL GROUP, SUITE 1, BLDG 2825, EGLIN AFB, FL 32542-1391
(850) 883-8843
(850) 883-8328
Mailing address
1120 TROON DR W, NICEVILLE, FL 32578-4063
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5241
KY
Other
Enumeration date
03/20/2006
Last updated
07/08/2007
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