Individual
DAVID E STAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19116 33RD AVE W, LYNNWOOD, WA 98036-4706
(425) 771-7500
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00010713
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039583
LABOR AND INDUSTRIES #
WA
01
—
40007216
RAILROAD MC#
WA
05
—
8268609
—
WA
05
—
MD594WA
—
AK
01
—
S696
BLUE SHIELD #
WA
01
—
US0818870
AETNA PCP PIN
WA
01
—
US0899988
AETNA SPECIALIST PIN
WA
Enumeration date
01/15/2007
Last updated
04/08/2008
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