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Individual

DR. STEPHANIE FRANCES CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2094
(208) 381-1791
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD60470189
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356665285
WA
05
2020292
WA
Enumeration date
03/22/2010
Last updated
10/07/2024
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