Individual
DR. STEFAN RICHARD BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15100 SE 38TH ST, 305B, BELLEVUE, WA 98006
(425) 289-0092
(425) 289-0095
Mailing address
15100 SE 38TH ST, 305B, BELLEVUE, WA 98006
(425) 289-0092
(425) 289-0095
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034220
WA
Other
Enumeration date
12/27/2006
Last updated
05/11/2012
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