MR. Daniel Stephens, ATC
NPI #1083681894 in Collinsville, Illinois
Provider Information
- NPI Number
- 1083681894
- Entity Type
- Individual
- Name
- MR. Daniel Stephens, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Credential
- ATC
- Enumeration Date
- Mar 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 93 SHADOW XING
- City
- Collinsville
- State
- Illinois
- ZIP Code
- 62234-1495
- Phone
- (618) 345-3854
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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