Individual
CHRISTOPHER J STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2940 SQUALICUM PKWY, #203, BELLINGHAM, WA 98225-1892
(360) 733-0640
(360) 733-1034
Mailing address
2940 SQUALICUM PKWY STE 203, BELLINGHAM, WA 98225-1892
(360) 738-3223
(360) 733-1034
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004130
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8353880
—
WA
Enumeration date
09/06/2006
Last updated
06/30/2010
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