Individual
JOEL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
106 IRVING ST NW, SUITE 204, WASHINGTON, DC 20010-2993
(202) 462-6479
(202) 723-3106
Mailing address
106 IRVING ST NW, SUITE 204, WASHINGTON, DC 20010-2993
(202) 462-6479
(202) 723-3106
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0023042
MD
208600000X
Surgery Physician
Primary
MD6819
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0569
BXBS
—
Enumeration date
08/20/2006
Last updated
11/28/2007
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