Individual
JOHN RAYMOND AVANT STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 304-8431
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A150375
CA
207P00000X
Emergency Medicine Physician
MD.MD.6108167
WA
207P00000X
Emergency Medicine Physician
MD61108167
WA
207Q00000X
Family Medicine Physician
Primary
MD61108167
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2014
Last updated
02/27/2024
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