Individual
DR. STEPHEN ROGER CLUM
Active
Individual
DR. STEPHEN ROGER CLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME120795
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME120795
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME120795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013639800
—
FL
01
—
32024
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/27/2006
Last updated
04/14/2016
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