Individual
DR. FAUSTIN R STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Mailing address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP10024992
TX
207X00000X
Orthopaedic Surgery Physician
MD60261135
WA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD60261135
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020965
—
WA
01
—
293885
LABOR & INDUSTRIES
WA
01
—
P01101576
RR MEDICARE
WA
Enumeration date
07/20/2007
Last updated
07/16/2019
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