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Individual

CLINTON SCOTT STEFFEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
256170-1
NY
207L00000X
Anesthesiology Physician
Primary
N6684
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
216387503
TX
01
8EZ358
BCBS
TX
01
P01509705
RR
TX
Enumeration date
03/29/2010
Last updated
09/29/2022
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