Organization
LARRY D. STONESIFER, M.D., INC, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D. STONESIFER M.D. (OWNER)
(253) 927-4777
Entity
Organization
Contact information
Practice address
34509 9TH AVE S STE 200, FEDERAL WAY, WA 98003-8708
(253) 927-4777
(253) 927-6580
Mailing address
34509 9TH AVE S STE 200, FEDERAL WAY, WA 98003-8708
(253) 927-4777
(253) 927-6580
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00021577
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7089675
—
WA
Enumeration date
04/25/2007
Last updated
04/27/2010
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