Individual
BRIAN K. STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1348 NE CUSHING DR, SUITE 200, BEND, OR 97701-3876
(541) 382-7696
(541) 389-5724
Mailing address
1348 NE CUSHING DR, SUITE 200, BEND, OR 97701-3876
(541) 382-7696
(541) 389-5724
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD22140
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130223
—
OR
Enumeration date
01/16/2007
Last updated
05/28/2008
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