EDWARD MARK STEPHENS

INDIANAPOLIS, IN
NPI1063971208
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: IN  01094601A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TX  T5216)
208M00000X Hospitalist
(Licence: TX  T5216)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-18
Last Update Date2024-08-20
Business Address
EDWARD MARK STEPHENS
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202-5187
Phone number: 317-880-7666
Mailing Address
EDWARD MARK STEPHENS
PO BOX 845347
DALLAS, TX 75284-7208
Phone number: