Individual
BRIAN STADTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2050 BARB ST, SILVERDALE, WA 98315-2050
(360) 315-4374
Mailing address
2050 BARB ST, SILVERDALE, WA 98315-2050
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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