Organization
DENNIS A STEWART MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS A STEWART MD (OWNER)
(850) 689-3123
Entity
Organization
Contact information
Practice address
550 REDSTONE AVE W, STE 320, CRESTVIEW, FL 32536-6428
(850) 689-3123
(850) 689-1633
Mailing address
550 REDSTONE AVE W, STE 320, CRESTVIEW, FL 32536-6428
(850) 689-3123
(850) 689-1633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME59782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K6357
MEDICARE PTAN
FL
Enumeration date
01/25/2007
Last updated
11/20/2007
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