MRS. Stephanie Jo Dethy

NPI #1265561708 in Sellersburg, Indiana

Provider Information

NPI Number: 1265561708
Entity Type: Individual
Name: MRS. Stephanie Jo Dethy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 2, 2007
Last Updated: Aug 2, 2024

Practice Location

Address: 11523 VALLEY FRG
City: Sellersburg
State: Indiana
ZIP Code: 47172-8403
Phone: (502) 931-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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