C David Stephenson in Rockford - Obstetrics & Gynecology
C David Stephenson - NPI 1538167895
C David Stephenson is a Obstetrics & Gynecology in Rockford, Illinois. C David Stephenson practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for C David Stephenson is 1538167895. The last update date is 2015-07-01.
C David Stephenson's current location address is 6861 Villagreen Vw, Rockford, Illinois. You can contact this provider via phone number 8156376200. The mailing address for C David Stephenson is 6861 Villagreen Vw, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | C David Stephenson |
|---|---|
| Address | 6861 Villagreen Vw, Rockford, Illinois |
| Phone Number | 8156376200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1538167895 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2015-07-01 |
Provider Mailing Address Detail
| Address | 6861 Villagreen Vw |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 6110756390 |
| Phone Number | 8156376200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 036-070392 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36070392 | IL | -- | |
| 30664100 | WI | WISCONSIN MEDICAID |
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What is the unique 10-digit identifier code assigned to C David Stephenson by the Centers for Medicare & Medicaid Services?
The C David Stephenson has been issued the NPI (National Provider Identifier) 1538167895 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the C David Stephenson located?
The C David Stephenson is located at 6861 Villagreen Vw, Rockford, IL 6110756390.
What is the C David Stephenson's specialty and taxonomy code?
The C David Stephenson's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.
On what date did the C David Stephenson receive the assignment of its 1538167895 from the Centers for Medicare & Medicaid Services?
The C David Stephenson was issued its 1538167895 by the Centers for Medicare & Medicaid Services on 2005-07-11.
When was the information pertaining to C David Stephenson most recently updated or revised?
The details related to C David Stephenson, including its address, specialty, and other relevant information, were last updated or revised on 2015-07-01.
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