Individual
MR. DAMON ALLEN STIVASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BC-HIS, ACA
Contact information
Practice address
150 W BEAU ST, WASHINGTON, PA 15301-4425
(724) 225-6990
(724) 225-6992
Mailing address
150 WEST BEAU STREET, WASHINGTON, PA 15301
(724) 225-6990
(724) 225-6992
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
PAFO2503
PA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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