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Individual

STEPHEN J PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00026260
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0155743
LABOR & INDUSTRIES
WA
05
8130023
WA
01
P00050791
RAILROAD MEDICARE
WA
Enumeration date
07/20/2005
Last updated
07/11/2019
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