Organization · NPI-2

Dennis A Stewart MD PA

Surgery · Crestview, FL

NPI number1508911843
StatusActive
Last updated in NPPESNov 20, 2007

Details

NPI
1508911843
Entity type
Organization (NPI-2)
Legal business name
Dennis A Stewart MD PA
Organization subpart
No
Enumeration date
Jan 25, 2007
Last updated
Nov 20, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgeryme59782FLYes

Practice location

550 Redstone Ave W
Ste 320
Crestview, FL 32536-6428

Phone 850-689-3123 · Fax 850-689-1633

Mailing address

550 Redstone Ave W
Ste 320
Crestview, FL 32536-6428

Phone 850-689-3123 · Fax 850-689-1633

Authorized official

Dennis A Stewart
Owner
8506893123

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