Individual
STEPHANIE M CHARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1135 JADWICK AVE, RICHLAND, WA 99352
(509) 942-3300
(509) 946-1868
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99337
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5636
NE
208000000X
Pediatrics Physician
Primary
MD60085929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275731937
—
WA
Enumeration date
07/04/2007
Last updated
05/03/2021
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