Individual
MRS. STEPHANY INDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6847 N CHESTNUT ST STE 210, RAVENNA, OH 44266-3929
(330) 297-6060
Mailing address
1325 VALE DR APT E, COPLEY, OH 44321-2188
(330) 936-5936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004834RX
OH
Other
Enumeration date
10/02/2016
Last updated
12/28/2020
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