Individual
MELODY R. STUPEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 S DIVISON ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11109
MT
2084P0800X
Psychiatry Physician
Primary
MD00035794
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000094476
BCBS PIN
MT
01
—
123069700
MDCD PIN
WY
Enumeration date
07/10/2006
Last updated
07/26/2011
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