Individual
STEVEN J MEDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD00015358
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013685
MONTANA MEDICAID
WA
05
—
1063346
—
WA
Enumeration date
09/23/2005
Last updated
03/15/2010
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