# LARRY D. STONESIFER, M.D., INC, P.S.

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

## Provider details

- **NPI number:** 1386863470
- **Authorized official:** LARRY D. STONESIFER M.D. (OWNER)
- **Authorized official phone:** (253) 927-4777

## Contact information

- **Practice address:** 34509 9TH AVE S STE 200, FEDERAL WAY, WA 98003-8708
- **Practice address phone:** (253) 927-4777
- **Practice address fax:** (253) 927-6580
- **Mailing address:** 34509 9TH AVE S STE 200, FEDERAL WAY, WA 98003-8708
- **Mailing address phone:** (253) 927-4777
- **Mailing address fax:** (253) 927-6580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD00021577 | WA | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 04/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7089675 | — | WA |