Individual
DR. DONALD EDWARD STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
945 HILDEBRAND LN NE, SUITE 100, BAINBRIDGE ISLAND, WA 98110-2877
(206) 991-2121
(206) 991-2151
Mailing address
PO BOX 25608, SUITE 100, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00019980
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118389
—
WA
01
—
MD00019980
MEDICAL LICENSE
WA
01
—
P0 0016565
RAILROAD MEDICARE
—
Enumeration date
10/27/2006
Last updated
12/29/2016
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