# NATHAN P STIME MD RIVERSIDE MEDICAL-DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376512293
- **Authorized official:** DR. NATHAN P STIME MD (OWNER)
- **Authorized official phone:** (509) 292-2700

## Contact information

- **Practice address:** 34705 N NEWPORT HWY, SUITE A, CHATTAROY, WA 99003-7711
- **Practice address phone:** (509) 292-2700
- **Practice address fax:** (509) 292-9744
- **Mailing address:** 34705 N NEWPORT HWY, SUITE A, CHATTAROY, WA 99003-7711
- **Mailing address phone:** (509) 292-2700
- **Mailing address fax:** (509) 292-9744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 10797 | WA | Yes |

## Other

- **Enumeration date:** 03/14/2006
- **Last updated:** 06/23/2008