| NPI | 1790773430 |
|---|---|
| Doing Business As | STEPHENS JOHNNY J MEMBER |
| Entity Type | Organization |
| Authorized Contact | JAMES MWAKITAWA MWATIBO Partner/Md 337-233-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2010-10-07 |