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Individual

DR. SUSAN THERESA STEVENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
810 CLAIRTON BLVD, PITTSBURGH, PA 15236-4567
(412) 466-5004
(412) 466-7137
Mailing address
810 CLAIRTON BLVD, PITTSBURGH, PA 15236-4567
(412) 466-5004
(412) 466-7137

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD445733
PA
208000000X
Pediatrics Physician
R1886
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027610600002
PA
Enumeration date
01/31/2007
Last updated
01/24/2023
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