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Individual

ROBERT P. STEVENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-7930
Mailing address
1930 SOUTHERN LIGHT DR, LINCOLN, NE 68512-3641
(402) 421-6506

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1307
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1307
PA LICENSE
NE
Enumeration date
03/02/2007
Last updated
03/29/2009
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