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Dr. Richard Penn Stephens JR., MD
Diagnostic Radiology Physician in Fort Wayne, Indiana
NPI 1417928532

Richard Penn Stephens JR. is a Diagnostic Radiology Physician based in Atlanta, IN and is specialized in Diagnostic Radiology. Richard Penn Stephens JR. practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Richard Penn Stephens JR. is 1417928532 and holds a License No. 01031973 (Indiana).

The current practice location address for Richard Penn Stephens JR. is 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN and can be reached out via phone at 260-436-0800 and via fax at 260-483-1911.

Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN, 30374-9495
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417928532
Provider Name
Richard Penn Stephens JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7910 W Jefferson Blvd Ste 108, Fort Wayne, IN, 30374-9495
Phone Number
260-436-0800
Fax Number
260-483-1911
Provider Enumeration Date
01/27/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0780409 05 OH
100320830 05 IN
1417928532 05 MI
institution
Provider Business Practice Location Address Details
Address
7910 W Jefferson Blvd Ste 108
City
Fort Wayne
State
Indiana
Zip
46804-4159
Phone Number
260-436-0800
Fax Number
260-483-1911
person
Provider Business Mailing Address Details
Address
7910 W Jefferson Blvd Ste 108
City
Fort Wayne
State
Indiana
Zip
46804-4159
Phone Number
260-436-0800
Fax Number
260-483-1911
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01031973 (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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