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Individual
STEPHEN BEZRUCHKA
Active
Individual
STEPHEN BEZRUCHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00016265
WA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD00016265
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8287500
—
WA
Enumeration date
03/29/2007
Last updated
07/23/2007
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