Organization
STEFAN BLACK DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN RICHARD BLACK D.C. (OWNER)
(206) 841-4031
Entity
Organization
Contact information
Practice address
8827 31ST AVE SW # 1, SEATTLE, WA 98126-3718
(206) 841-4031
Mailing address
8827 31ST AVE SW, SEATTLE, WA 98126-3718
(206) 841-4031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034220
WA
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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