| NPI Details | |
|---|---|
| NPI | 1700987476 |
| Gender | Female |
| Enumeration Date | 09/26/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 10 years ago |
| Practice Location | |
|---|---|
| 525 LILLY RD NE OLYMPIA WA, 98506-5101, US |
|
| Phone | (360) 493-7230 |
| Fax | (360) 493-4180 |
| Business Location | |
|---|---|
| 3519 GULL HARBOR RD NE OLYMPIA WA, 98506-2873, US |
|
| Phone | (360) 753-9064 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | Washington |
| License Number | ML20008185 |
| Remove 1700987476 NPI Number | |
According to our database, Stephanie J Upton M.D. NPI is 1700987476, taxonomy code is 207Q00000X and license number is ML20008185, license state is located at Washington. Stephanie J Upton M.D. physically located at 525 Lilly Rd Ne, Olympia WA, 98506-5101. NPI Number Stephanie J Upton M.D. has the Individual type.
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1700987476 NPI number is provided on an as is basis without warranty of any kind. 1700987476 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie J Upton M.D. are for informational purposes only.
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