Individual
STEPHANIE ROSE SRUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3434 12TH AVE NE, OLYMPIA, WA 98506-5175
(360) 413-8470
(360) 413-8490
Mailing address
3539 SURREY DR NE, OLYMPIA, WA 98506-3627
(360) 907-5008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
60735930
WA
208000000X
Pediatrics Physician
Primary
94-08426
KS
Other
Enumeration date
03/30/2014
Last updated
07/21/2022
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