Individual
DR. JUSTIN DANIEL STAMSCHROR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356560, SEATTLE, WA 98195-0001
(206) 543-6577
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60646333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811301013
—
WA
Enumeration date
06/16/2014
Last updated
08/15/2019
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