Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN CRAIG STEVENS, MD
Active Sole ProprietorDR. JONATHAN CRAIG STEVENS, MD is a Electrodiagnostic Medicine healthcare provider located in PONDERAY, Idaho. NPI 1366495178 is currently active in the NPPES registry. Verify at CMS.
Electrodiagnostic Medicine · PONDERAY, ID
Registration Details
- NPI Number
- 1366495178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2006 (20.257766758886 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
M7507 (ID)M7507 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 VERMEER DR UNIT 1PONDERAY, ID, 838529802Browse ID providers · Browse ZIP 83852
- Phone
- 2082661677
- Fax
- 2082660440
- Primary Specialty
-
Electrodiagnostic Medicine
204D00000X
- Additional Specialty
- Electrodiagnostic Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.