STEPHEN IGNATIUS PROCTOR SR.

Dr STEPHEN IGNATIUS PROCTOR SR. is a male medical professional, specializing in Obstetrics/gynecology. He graduated in 1985 from Bowman Gray School Of Medicine Of Wake Forest University.

Contact

6192 OXON HILL RD
SUITE 600
OXON HILL
MD
207453140

Tel:

STEPHEN IGNATIUS PROCTOR SR. Information

Npi 1811903792
Pac Id 3870654866
Professional Enrollment Id I20081209000692
Last Name PROCTOR
First Name STEPHEN
Middle Name IGNATIUS
Suffix SR.
Gender M
Credential
Medical School Name BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY
Graduation Year 1985
Primary Specialty OBSTETRICS/GYNECOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 6192 OXON HILL RD
Line 2 Street Address SUITE 600
Marker Of Address Line 2 Suppression
City OXON HILL
State MD
Zip Code 207453140
Phone Number
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Hospital Affiliation Ccn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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