Individual
DR. ISRAEL M STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1180 COLLEGE DR, ROCK SPRINGS, WY 82901-5863
(307) 212-7570
(307) 212-7530
Mailing address
PO BOX 1359, ROCK SPRINGS, WY 82902-1359
(307) 212-7570
(307) 212-7530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11249A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2010
Last updated
01/23/2020
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