Individual
STEPHENS DAVIS TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 W 5TH AVE STE 900, SPOKANE, WA 99204-2948
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(508) 353-4941
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2021-02828
NC
2086S0129X
Vascular Surgery Physician
237957
MA
2086S0129X
Vascular Surgery Physician
4301073233
MI
2086S0129X
Vascular Surgery Physician
MD60594978
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048867
—
WA
01
—
4045741
AETNA
AL
01
—
515-16227
BLUE CROSS/BLUE SHIELD
AL
05
—
51553549
—
AL
Enumeration date
12/08/2005
Last updated
06/12/2024
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