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Individual
DOUGLAS RUSSELL STEWART
Active
Individual
DOUGLAS RUSSELL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD073490L
PA
207SG0203X
Clinical Molecular Genetics Physician
Primary
MD073490L
PA
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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