Individual
STEPHEN M. DURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24920 104TH AVE SE, KENT, WA 98030-6443
(425) 690-3420
(425) 690-9420
Mailing address
3600 LIND AVE SW, SUITE 100, RENTON, WA 98055-4934
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00034271
WA
207QA0505X
Adult Medicine Physician
Primary
MD00034271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045883
—
WA
05
—
8198566
—
WA
01
—
G8891461
MEDICARE - VALLEY MEDICAL GROUP
WA
Enumeration date
06/30/2006
Last updated
03/05/2020
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