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Individual
DR. STEPHEN SUPOYO
Active
Individual
DR. STEPHEN SUPOYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61069893
WA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD61069893
WA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD61069893
WA
Other
Enumeration date
03/22/2018
Last updated
06/30/2026
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