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Individual
MR. STEPHEN WALLINGFORD PRICE
Active
Individual
MR. STEPHEN WALLINGFORD PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002267
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127276
LABOR & INDUSTRIES
WA
05
—
8323016
—
WA
01
—
P00163315
MEDICARE RAILROAD
WA
Enumeration date
11/22/2005
Last updated
06/18/2009
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