Individual
WILLIAM BRUCE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7605 FOREST AVE, SUITE 308, RICHMOND, VA 23229-4938
(804) 288-7077
(804) 285-8120
Mailing address
7605 FOREST AVE, SUITE 308, RICHMOND, VA 23229-4938
(804) 288-7077
(804) 285-8120
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
0101029770
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF1951
RAILROAD MEDICARE
—
01
—
CL4165
RAILROAD MEDICARE
—
Enumeration date
11/28/2006
Last updated
01/16/2008
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