NPI 1053550376

Sean Stevenson, LSA

Practitioner Surgical Assistant Brandywine, MD

Practice location

Address: 6305 Brechin Dr, Brandywine, MD 20613-6261
Phone: (240) 383-0436
Fax: (760) 731-0414
Mailing address: 13606 Hotomtot Dr, Upper Marlboro, MD 20774-7151

Registered specialties (2)

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence SA0002 (MD)

Other Specialist/Technologist, Other providers in Maryland →

Surgical Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Registry record

NPI: 1053550376
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2009
Record last updated: 10 Feb 2009

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.