Individual
MR. STEPHEN SEVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
I.D.C
Contact information
Practice address
10186 BAUSELL CT, SAN DIEGO, CA 92124-3201
(540) 241-7345
Mailing address
2520 MIDWAY RD, VIRGINIA BEACH, VA 23459-9305
(540) 241-7345
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
01/11/2017
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