Individual
MICHAEL THOMAS STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011
(509) 247-5661
Mailing address
100 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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