Individual
AMY L. STEPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 583-6025
Mailing address
1100 OLIVE WAY STE 401 # M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60019469
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8519472
—
WA
Enumeration date
02/16/2007
Last updated
08/25/2008
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