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Individual

MR. DAVID H STUART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ABCO/BOCO/LO

Contact information

Practice address
1555 3RD AVE STE B, LONGVIEW, WA 98632-3268
(360) 577-3505
(360) 577-3509
Mailing address
1555 3RD AVE STE B, LONGVIEW, WA 98632-3268
(360) 577-3505
(360) 577-3509

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OI00000118
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041842
WA
Enumeration date
06/01/2010
Last updated
08/21/2012
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