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Individual

FREDERICK STEPHENS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
MADIGAN ARMY MEDICAL CTR, 9040 JACSKON AVE, TACOMA, WA 98431-0001
(253) 968-1374
Mailing address
MADIGAN ARMY MEDICAL CTR, NEUROSURGERY DEPARTMENT, TACOMA, WA 98431-0001

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01057415A
IN
207T00000X
Neurological Surgery Physician
C54754
CA
207T00000X
Neurological Surgery Physician
MD60302866
WA

Other

Enumeration date
06/09/2008
Last updated
03/02/2023
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