Individual
JEREMY EDWARD STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
624 E. FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
(509) 626-9920
Mailing address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
(509) 626-9920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP61082746
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2018
Last updated
01/12/2021
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