Stephan L Pro M.D.

NPI 1457507659 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1457507659
Gender Male
Enumeration Date 08/07/2008
Last Updated 07/06/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
1112 W 6TH ST
SUITE 124
LAWRENCE KS, 66044-2215, US
Phone (785) 843-9125
Fax (785) 843-6973
Business Location
1112 W 6TH ST
SUITE 124
LAWRENCE KS, 66044-2215, US
Phone (785) 843-9125
Fax (785) 843-6973
Toxanomy
Taxonomy Code 207X00000X
License State Oregon
License Number MD28399
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According to our database, Stephan L Pro M.D. NPI is 1457507659, taxonomy code is 207X00000X and license number is MD28399, license state is located at Oregon. Stephan L Pro M.D. physically located at 1112 W 6th St, Lawrence KS, 66044-2215. NPI Number Stephan L Pro M.D. has the Individual type.

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1457507659 NPI number is provided on an as is basis without warranty of any kind. 1457507659 is maintained by the National Plan & Provider Enumeration System. The contents of Stephan L Pro M.D. are for informational purposes only.