Dr Patrice N Stevenson
Physical Medicine & Rehabilitation in Puyallup, WA. Organization (NPI-2).
NPI number1104128727
StatusActive
Last updated in NPPESDec 2, 2010
Details
- NPI
- 1104128727
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Patrice N Stevenson
- Organization subpart
- No
- Enumeration date
- Dec 2, 2010
- Last updated
- Dec 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MD00022286 | WA | Yes |
Practice location
407 14th Ave SePuyallup, WA 98372-3770
Phone 253-862-5138 · Fax 253-862-5138
Mailing address
4468 185th Ave ELake Tapps, WA 98391-9112
Phone 253-862-5138 · Fax 253-862-5138
Authorized official
Patrice N Stevenson
Physician
2538625138
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