Individual
DOUGLAS RUSSELL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GATEWAY BLVD STE 380, SOUTH SAN FRANCISCO, CA 94080-7420
(877) 688-0992
Mailing address
7057 WOLFTREE LN, ROCKVILLE, MD 20852-4354
(301) 984-7772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD073490L
PA
207SG0203X
Clinical Molecular Genetics Physician
Primary
MD073490L
PA
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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