Individual
JUSTIN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-2778
Mailing address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1971
NE
Other
Enumeration date
05/22/2017
Last updated
08/03/2020
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