Individual
STACEY REBECCA MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 REPUBLICAN ST, SEATTLE, WA 98109-4766
(515) 570-6372
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
MD61459858
WA
Other
Enumeration date
03/21/2017
Last updated
08/14/2023
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