Individual
MR. ERNEST STEPHEN STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 REID ST., ATTN: MCHJ-QCR, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Mailing address
MADIGAN ARMY MEDICAL CTR, 9040 REID ST., ATTN: MCHJ-QCR, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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