NPI | 1255895512 |
---|---|
Doing Business As | STEVENSON PODIATRY LLC |
Entity Type | Organization |
Authorized Contact | CLAYMON A. STEVENSON Owner 410-440-7387 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Enumeration Date | 2019-01-30 |
Last Update Date | 2019-01-30 |