Individual
STEPHANIE J TOBEY-BREUNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PENDING
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075765
NCCPA IDENTIFICATION NUMBER
WA
Enumeration date
06/02/2008
Last updated
06/08/2021
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