Individual
DR. STANLEY AARON BLOUSTINE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, FT. LEWIS, WA 98431
(253) 968-2917
Mailing address
4912 88TH AVENUE CT W, UNIVERSITY PLACE, WA 98467-1725
(253) 565-4394
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0017237
WA
Other
Enumeration date
12/19/2005
Last updated
07/08/2007
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