| NPI | 1164530382 |
|---|---|
| Doing Business As | STEPHENS FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A STEPHENS M.D. 904-264-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-06-18 |