NPI 1013142231
Joshua Douglas Stephenson, SOIDMTNRP
Practice location
- Address
- 3051 Blake Street, Duke Field, FL 32542
- Phone
- (850) 885-3067
- Mailing address
- 1 Matero Drive, Pope Field, NC 28308
Registered specialties (2)
Independent Duty Medical Technicians
Primary
Registry record
- NPI
- 1013142231
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 May 2009
- Record last updated
- 11 Nov 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.