Individual
SAMUEL STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-4504
(253) 968-1110
Mailing address
9040 JACKSON AVE, JOINT BASE LEWIS-MCCHORD, WA 98433
(774) 200-0340
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61202822
WA
208D00000X
General Practice Physician
0101266576
VA
Other
Enumeration date
04/12/2017
Last updated
02/19/2024
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