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Individual

DR. STEVEN J GORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4525 3RD AVE SE, SUITE 200, LACEY, WA 98503-1010
(360) 754-3934
(360) 412-8954
Mailing address
4525 3RD AVE SE, SUITE 200, LACEY, WA 98503-1010
(360) 754-3934
(360) 412-8954

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00020267
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1029263
WA
Enumeration date
07/07/2005
Last updated
08/07/2007
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