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Individual

STEPHEN D NEVETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
401 NE NORTHGATE WAY SPC 1101, SEATTLE, WA 98125-8538
(206) 364-2273
(206) 364-2576
Mailing address
401 NE NORTHGATE WAY SPC 1101, SEATTLE, WA 98125-8538
(206) 364-2273
(206) 364-2576

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2753ATI
OR
152W00000X
Optometrist
6000TG
TX
152W00000X
Optometrist
Primary
60060955
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2075593
WA
Enumeration date
08/31/2007
Last updated
03/03/2022
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