Individual
BENJAMIN T STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E MARKET ST, IOWA CITY, IA 52245-2633
(319) 339-3551
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 339-3551
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036103189
IL
208000000X
Pediatrics Physician
Primary
MD-37254
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103189
—
IL
05
—
0585232
—
IA
01
—
059731
HEALTH ALLIANCE
—
01
—
183737
IOWA HEALTH SOLUTIONS
—
01
—
91340
WELLMARK HEALTH PLANS
—
01
—
IL01F7
JOHN DEERE HEALTH PLAN
—
Enumeration date
06/24/2005
Last updated
04/18/2024
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