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Organization

STEPHEN P ROSSER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN ROSSER MD (PRESIDENT)
(704) 872-6008
Entity
Organization

Contact information

Practice address
750 HARTNESS RD STE G, STATESVILLE, NC 28677-3400
(704) 872-6008
(704) 878-9070
Mailing address
750 HARTNESS RD STE G, STATESVILLE, NC 28677-3400
(704) 872-6008
(704) 878-9070

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35484
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2170998
MEDICARE
NC
05
8973422
NC
Enumeration date
07/12/2010
Last updated
07/22/2010
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