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Philip Edward Stevenson, CAA

Anesthesiologist Assistant in Tallahassee, FL. Individual provider (NPI-1).

NPI number1114447331
StatusActive
Last updated in NPPESOct 7, 2024

Details

NPI
1114447331
Entity type
Individual (NPI-1)
Name
Philip Edward Stevenson
Credential
CAA
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 20, 2017
Certification date
Oct 7, 2024
Last updated
Oct 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist AssistantAA391FLYes

Practice location

2173 Centerville Pl Ste A
Tallahassee, FL 32308-8303

Phone 850-385-0144

Mailing address

2300 Bluff Oak Way Apt 6207
Tallahassee, FL 32311-6132

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