Individual
GARY SCOTT STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 NW MARKET ST, SUITE 308, SEATTLE, WA 98107-3987
(206) 781-6353
(206) 783-4801
Mailing address
1145 BROADWAY, SEATTLE, WA 98122-4201
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00015868
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1044684
—
WA
Enumeration date
06/28/2006
Last updated
03/21/2008
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