Individual
BRAD GREGORY STEVINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 16TH STREET, GREELEY, CO 80631-5199
(970) 352-4121
(970) 350-6644
Mailing address
5000 HOPYARD RD STE 100, PLEASANTON, CA 94588-3146
(432) 934-6705
(432) 689-6856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0052716
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2008
Last updated
08/14/2013
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