Individual
DR. ANTON STUART MCCOURTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
529 JASMINE ST, OMAK, WA 98841-9589
(509) 826-1600
(509) 826-3633
Mailing address
529 JASMINE ST, OMAK, WA 98841-9589
(509) 826-1600
(509) 826-3633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60227253
WA
208600000X
Surgery Physician
ML20008639
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297859
L&I
WA
05
—
1538278213
—
WA
01
—
P01082422
RR MEDICARE
WA
Enumeration date
08/29/2006
Last updated
03/19/2015
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