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STEFANO JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
533 S 336TH ST STE C, FEDERAL WAY, WA 98003-6329
(253) 661-1700
Mailing address
PO BOX 26730, FEDERAL WAY, WA 98093-3730
(253) 661-1700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04446
RI
2085R0202X
Diagnostic Radiology Physician
Primary
A185070
CA
390200000X
Student in an Organized Health Care Education/Training Program
MDRE.ML.60960928
WA

Other

Enumeration date
07/15/2018
Last updated
01/19/2026
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