Individual
DR. FRAY DYLAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0053844
MD
2086S0120X
Pediatric Surgery Physician
Primary
D53844
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103
CAREFIRST
MD
05
—
061401700
—
MD
01
—
1701493
UNITED HLTHCARE
MD
01
—
2138547
MDIPA
MD
01
—
2210485
UNITED HLTHCARE NATIONAL
MD
01
—
252812
KAISER
MD
01
—
60645101
BLUE SHIELD
MD
Enumeration date
07/27/2006
Last updated
03/13/2012
Update your record
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