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NPI Code Detail

MEDICARE: DR. MAUREEN ERIN STEPHENSON DO

MEDICARE:  DR. MAUREEN ERIN STEPHENSON  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician4785SD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265546329
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAUREEN ERIN STEPHENSON DO
Provider Business Mailing Address
First Line : PO BOX 2652
Second Line :
City : RAPID CITY
State : SD
Zip : 57709-2652
Country : US
Telephone Number : 605-737-7777
Fax Number :
Provider Business Practice Location Address
First Line : 550 N 5TH ST
Second Line : SUITE 110
City : RAPID CITY
State : SD
Zip : 57701-1375
Country : US
Telephone Number : 605-737-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 01/07/2008

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Directions to “ DR. MAUREEN ERIN STEPHENSON DO” Practice Location

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