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Individual

DAVID STOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1711
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1711

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60264525
WA
363AM0700X
Medical Physician Assistant
1699
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001699
CT PA LICENSE #
CT
Enumeration date
02/17/2006
Last updated
10/18/2016
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