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Individual

CAROLINE B STEVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1210 MEDICAL ARTS BLVD STE 114, ANDERSON, IN 46011-3442
(765) 298-4545
(765) 298-4945
Mailing address
1210 MEDICAL ARTS BLVD STE 114, ANDERSON, IN 46011-3442
(765) 298-4545
(765) 298-4945

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02003636A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000805266
ANTHEM BCBS
IN
05
200975700
IN
Enumeration date
03/03/2010
Last updated
10/22/2019
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