Individual
DR. JONATHAN STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-5095
(253) 968-1110
Mailing address
36000 DARNALL LOOP, FORT HOOD, TX 76544-5095
(254) 288-8303
(254) 286-7055
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1397
NE
207P00000X
Emergency Medicine Physician
Primary
OP60807201
WA
207P00000X
Emergency Medicine Physician
R5042
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
7919
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2014
Last updated
01/18/2025
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