Organization
STEPHEN R SHAUL MD INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R SHAUL M.D. (PRESIDENT)
(509) 966-0292
Entity
Organization
Contact information
Practice address
4601 AVALANCHE AVE, YAKIMA, WA 98908-2830
(509) 966-0292
Mailing address
4601 AVALANCHE AVE, YAKIMA, WA 98908-2830
(509) 966-0292
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD00011637
WA
Other
Enumeration date
03/08/2010
Last updated
01/31/2013
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