Individual
JEFFREY L. STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4011 TALBOT RD S, RENTON, WA 98055
(425) 228-6076
(425) 226-5224
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4310
MT
208600000X
Surgery Physician
MD2004-0818
NM
208600000X
Surgery Physician
Primary
MD60360724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037324
—
WA
05
—
634686754
—
NM
Enumeration date
06/11/2006
Last updated
04/25/2019
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