Individual
MR. GREGORY DOUGLAS STEWART SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA, RN, CNOR, CRNFA
Contact information
Practice address
2424 122ND ST SW, B, EVERETT, WA 98204-4744
(206) 948-4671
(425) 513-9456
Mailing address
PO BOX 1542, MUKILTEO, WA 98275-7742
(206) 948-4671
(425) 513-9456
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
25800059197
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10002153
WA
Other
Enumeration date
10/06/2006
Last updated
03/22/2013
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