Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD47559 | TN |
N | 207YS0123X | Facial Plastic Surgeon | MD152269 | OR |
NPI | 1841403482 |
---|---|
Provider Name | Scott J Stephan |
First Address | Nashville, TN 37232-0014 |
Second Address | Nashville, TN 37232-8605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 19/10/2020 |