Individual
DR. JOHN ROBERT STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PHILIP ROTH ST, SUITE 5A, NEWPORT NEWS, VA 23606-1393
(757) 599-6333
(757) 591-7261
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
(757) 534-5190
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101026602
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992709257
—
VA
Enumeration date
06/02/2005
Last updated
11/14/2012
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