Individual
JIMMIE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1909 214TH ST SE STE 300, BOTHELL, WA 98021-4418
(425) 412-7200
Mailing address
1909 214TH ST SE STE 300, BOTHELL, WA 98021-4418
(425) 412-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
94-09210
KS
207Q00000X
Family Medicine Physician
Primary
MD61059096
WA
Other
Enumeration date
06/08/2017
Last updated
04/07/2021
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