Individual
STUART A O'BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 765-0216
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00016245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1596303
—
WA
01
—
80227
L&I
WA
Enumeration date
08/20/2006
Last updated
11/16/2011
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