Individual
STEPHEN KORMANYOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-3727
(360) 514-3711
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5670
(615) 377-1678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00042158
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8155111
—
WA
01
—
P00177602
RAILROAD MEDICARE
WA
Enumeration date
11/13/2006
Last updated
07/06/2010
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