Organization
NATHAN P STIME MD RIVERSIDE MEDICAL-DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN P STIME MD (OWNER)
(509) 292-2700
Entity
Organization
Contact information
Practice address
34705 N NEWPORT HWY, SUITE A, CHATTAROY, WA 99003-7711
(509) 292-2700
(509) 292-9744
Mailing address
34705 N NEWPORT HWY, SUITE A, CHATTAROY, WA 99003-7711
(509) 292-2700
(509) 292-9744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10797
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1539907
—
WA
Enumeration date
03/14/2006
Last updated
06/23/2008
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