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Individual

WILLIAM W STOPOULOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7315 212TH ST SW STE 205, EDMONDS, WA 98026-7610
(425) 776-6999
(425) 776-9899
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60446696
WA
363AS0400X
Surgical Physician Assistant
PA60446696
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2049734
WA
Enumeration date
10/19/2012
Last updated
12/01/2023
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