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Brian William Stephenson, D.O.

Internal Medicine in Darby, PA. Individual provider (NPI-1).

NPI number1376805366
StatusActive
Last updated in NPPESNov 13, 2015

Details

NPI
1376805366
Entity type
Individual (NPI-1)
Name
Brian William Stephenson
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 14, 2012
Last updated
Nov 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineOS017107PAYes
390200000X Student in an Organized Health Care Education/Training ProgramOT014507PA

Practice location

1500 Lansdowne Ave
Darby, PA 19023-1200

Phone 610-237-4000

Mailing address

1500 Lansdowne Ave
Attention Brian Stephenson DO
Darby, PA 19023-1200

Phone 215-364-3490

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