Provider Demographics
NPI:1336111509
Name:STETSON, JOHN BATTERSON V (MD PSYCHIATRIST)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BATTERSON
Last Name:STETSON
Suffix:V
Gender:M
Credentials:MD PSYCHIATRIST
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Mailing Address - Street 1:6900 ALDEN DRIVE
Mailing Address - Street 2:ATTN: 90 MDOS/SGOW - MENTAL HEALTH
Mailing Address - City:FE WARREN AFB
Mailing Address - State:WY
Mailing Address - Zip Code:82005-3913
Mailing Address - Country:US
Mailing Address - Phone:307-773-2998
Mailing Address - Fax:307-773-4721
Practice Address - Street 1:6900 ALDEN DRIVE
Practice Address - Street 2:ATTN: 90 MDOS/SGOW - MENTAL HEALTH
Practice Address - City:FE WARREN AFB
Practice Address - State:WY
Practice Address - Zip Code:82005-3913
Practice Address - Country:US
Practice Address - Phone:307-773-2998
Practice Address - Fax:307-773-4721
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2013-06-05
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Provider Licenses
StateLicense IDTaxonomies
VA1012333372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry