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Individual

DR. STEPHEN E FITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
SKYLINE MEDICAL OFFICE, 5125 SKYLINE RD, S, KAISER PERMANENTE, SALEM, OR 97306-9427
(503) 588-5985
(503) 588-5957
Mailing address
KAISER PERMANENTE SKYLINE MEDICAL OFFICE, 5125 SKYLINE RD, S, SALEM, OR 97306-9427
(503) 588-5985
(503) 588-5957

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1459
WV
2085R0202X
Diagnostic Radiology Physician
2692
OK
2085R0202X
Diagnostic Radiology Physician
2705
AK
2085R0202X
Diagnostic Radiology Physician
34170
CO
2085R0202X
Diagnostic Radiology Physician
A778-83
NM
2085R0202X
Diagnostic Radiology Physician
Primary
DO22418
OR

Other

Enumeration date
08/14/2006
Last updated
07/11/2007
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