Individual
MR. STEPHEN ANDREW SOUDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5800 N 200 W, COLUMBUS, IN 47201-9575
(812) 372-5289
Mailing address
5800 N 200 W, COLUMBUS, IN 47201-9575
(812) 372-5289
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3600145A
IN
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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